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Deactivated NPI 1053456228 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore J Rosov , DDS

Dentist - General Practice • Gainesville, 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. Theodore Rosov has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2007
NPI Deactivation Date October 16, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Rosov, DDS was a registered Dentist - General Practice practicing in Gainesville, FL. Throughout an active medical career spanning 17 years, Dr. Rosov provided care at the practice location at 4965 NW 8TH AVE until profile deactivation on 2024-10-16.

Practice Location & Contact Primary Location

Practice Address

4965 Nw 8th Ave
Ste B

Gainesville, FL 32605

Telephone 3523721966
Associated Practice Facility / Clinic
🏢 David M. Roshkind, Dmd, P.a. Facility NPI 1194976290

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gainesville, FL

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

Practicing in Gainesville, 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 DN2775

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.

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 16, 2024

Record deactivated on October 16, 2024

NPI Profile Active October 03, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2007

Registered at 4965 NW 8TH AVE, STE B, GAINESVILLE, FL 32605 (Tel: 3523721966)

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Updated Business Mailing Address October 03, 2007

Registered at 4326 SW 94TH DR, GAINESVILLE, FL 32608 (Tel: 3523761933)

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Provider Name / Credentials Updated October 03, 2007

Recorded as THEODORE ROSOV, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2007

Dentist (License #DN2775 in FL)

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Initial NPI Registration & Enumeration February 21, 2007

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: 1053456228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: October 03, 2007
Deactivation Date: October 16, 2024

Mailing Address

4326 Sw 94th Dr

Gainesville, FL 32608

Phone: 3523761933

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.