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Deactivated NPI 1285648550 Deactivated / Inactive NPI Male Practitioner

Dr. Donald Joseph Bucalo , DDS

Dentist - General Practice • Enfield, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Donald Bucalo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2006
NPI Deactivation Date January 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Donald Bucalo, DDS was a registered Dentist - General Practice practicing in Enfield, CT. Throughout an active medical career spanning 16 years, Dr. Bucalo provided care at the practice location at 421 HAZARD AVENUE until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

421 Hazard Avenue

Enfield, CT 06082

Telephone 8607490533
Fax 8607491212
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Enfield, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Enfield, CT (1821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 4078

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Lynne Bucalo , DDS

Dentist - General Practice

NPI 1295749562

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 31, 2022

Record deactivated on January 31, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 421 HAZARD AVENUE, ENFIELD, CT 06082 (Tel: 8607490533)

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Updated Business Mailing Address July 08, 2007

Registered at 421 HAZARD AVENUE, ENFIELD, CT 06082 (Tel: 8607490533)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DONALD BUCALO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4078 in CT)

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Initial NPI Registration & Enumeration July 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285648550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2006
Last Update: July 08, 2007
Deactivation Date: January 31, 2022

Mailing Address

421 Hazard Avenue

Enfield, CT 06082

Phone: 8607490533

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.