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Deactivated NPI 1215207089 Deactivated / Inactive NPI Female Practitioner

Dr. Amanda M. Mcintire , DMD

Dentist - General Practice • Clermont, FL

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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. Amanda Mcintire has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 10, 2012
NPI Deactivation Date April 25, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Mcintire, DMD was a registered Dentist - General Practice practicing in Clermont, FL. Throughout an active medical career spanning 7 years, Dr. Mcintire provided care at the practice location at 680 E STATE ROAD 50 until profile deactivation on 2019-04-25.

Practice Location & Contact Primary Location

Practice Address

680 E State Road 50

Clermont, FL 347113184

Telephone 3522414500

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clermont, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Clermont, FL (7473 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 FL DN19558

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

5 Associated Practitioners
Dr. Andrew Pham , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1316433865

Doctor of Dental Medicine

Dr. Freddy Mezquia , DMD

Dentist - General Practice

NPI 1679095970

Doctor of Dental Medicine

Tigura Reddy

Dentist - Periodontics

NPI 1750799904
Dr. Amy Dobrozdravic , DDS

Dentist - General Practice

NPI 1922584291

Doctor of Dental Surgery

Dr. Aaron Walker , DMD

Dentist - General Practice

NPI 1932399284

Doctor of Dental Medicine

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 April 25, 2019

Record deactivated on April 25, 2019

NPI Profile Active February 26, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 26, 2014

Registered at 680 E STATE ROAD 50, CLERMONT, FL 347113184 (Tel: 3522414500)

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Updated Business Mailing Address February 26, 2014

Registered at 830 ALASKA WOODS LN, ORLANDO, FL 328248805 (Tel: 4078500123)

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Provider Name / Credentials Updated February 26, 2014

Recorded as AMANDA MCINTIRE, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Dentist (License #DN19558 in FL)

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Initial NPI Registration & Enumeration January 10, 2012

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: 1215207089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2012
Last Update: February 26, 2014
Deactivation Date: April 25, 2019

Mailing Address

830 Alaska Woods Ln

Orlando, FL 328248805

Phone: 4078500123

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.