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Deactivated NPI 1629171665 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Lewis Greenbaum , DMD

Dentist - General Practice • Wilmington, DE

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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. Jack Greenbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 06, 2006
NPI Deactivation Date October 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Greenbaum, DMD was a registered Dentist - General Practice practicing in Wilmington, DE. Throughout an active medical career spanning 12 years, Dr. Greenbaum provided care at the practice location at 1601 KIRKWOOD HWY until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

1601 Kirkwood Hwy

Wilmington, DE 198054917

Telephone 3024771585
Associated Practice Facility / Clinic
🏢 Wilmington Vamc Facility NPI 1003864208

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wilmington, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
109 Specialists

Practicing in Wilmington, DE (261 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 MD 8781

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

40 Associated Practitioners
Dr. Navjot Hanspal , MD

Psychiatry & Neurology - Psychiatry

NPI 1003871260

Doctor of Medicine (M.D.)

Charles Lutz , MSW

Social Worker - Clinical

NPI 1003912056

Master of Social Work

Darin Bishop , MSW, LCSW

Social Worker - Clinical

NPI 1013001312

Master of Social Work, Licensed Clinical Social Worker

Dr. Susan Keith , MD

Internal Medicine

NPI 1013968130

Doctor of Medicine (M.D.)

Margaret Love , PA-C

Physician Assistant - Medical

NPI 1013968411

Physician Assistant (Certified)

NPI 1033558960

Doctor of Optometry

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 October 25, 2018

Record deactivated on October 25, 2018

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 1601 KIRKWOOD HWY, WILMINGTON, DE 198054917 (Tel: 3024771585)

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Updated Business Mailing Address July 08, 2007

Registered at 1601 KIRKWOOD HWY, WILMINGTON, DE 198054917 (Tel: 3024771585)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK GREENBAUM, DMD

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

Dentist (License #8781 in MD)

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Initial NPI Registration & Enumeration September 06, 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: 1629171665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2006
Last Update: July 08, 2007
Deactivation Date: October 25, 2018

Mailing Address

1601 Kirkwood Hwy

Wilmington, DE 198054917

Phone: 3024771585

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.