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Deactivated NPI 1194789289 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Obadowski , DMD

Dentist - General Practice • Hartford, 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. Mark Obadowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 14, 2006
NPI Deactivation Date May 11, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Obadowski, DMD was a registered Dentist - General Practice practicing in Hartford, CT. Throughout an active medical career spanning 14 years, Dr. Obadowski provided care at the practice location at 1000 ASYLUM AVE until profile deactivation on 2020-05-11.

Practice Location & Contact Primary Location

Practice Address

1000 Asylum Ave

Hartford, CT 061051770

Telephone 8607144995
Fax 8607148005
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hartford, CT

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

Practicing in Hartford, 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 005720

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

14 Associated Practitioners
Hector Maldonado , RDH

Dental Hygienist

NPI 1013121417

Registered Dental Hygienist

Artime Vinca

Student in an Organized Health Care Education/Training Program

NPI 1063356905
Siobhan Jager , RDH

Dental Hygienist

NPI 1083828461

Registered Dental Hygienist

Dr. Tom Dekker , DDS

Dentist - General Practice

NPI 1114981750

Doctor of Dental Surgery

Dr. Edward Kelly , DMD

Dentist - General Practice

NPI 1124315957

Doctor of Dental Medicine

Sarah Herbsman

Student in an Organized Health Care Education/Training Program

NPI 1245186048

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 May 11, 2020

Record deactivated on May 11, 2020

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 1000 ASYLUM AVE, HARTFORD, CT 061051770 (Tel: 8607144995)

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Updated Business Mailing Address July 08, 2007

Registered at 1000 ASYLUM AVE, HARTFORD, CT 061051770 (Tel: 8607144995)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK OBADOWSKI, DMD

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

Dentist (License #005720 in CT)

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Initial NPI Registration & Enumeration April 14, 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: 1194789289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2006
Last Update: July 08, 2007
Deactivation Date: May 11, 2020

Mailing Address

1000 Asylum Ave

Hartford, CT 061051770

Phone: 8607144995

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.