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Deactivated NPI 1568526978 Deactivated / Inactive NPI Male Practitioner

Joel Barak

Dentist - General Practice • Holiday, 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, Joel Barak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2006
NPI Deactivation Date December 10, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Joel Barak was a registered Dentist - General Practice practicing in Holiday, FL. Throughout an active medical career spanning 12 years, Joel Barak provided care at the practice location at 4639 SUNRAY DR until profile deactivation on 2018-12-10.

Practice Location & Contact Primary Location

Practice Address

4639 Sunray Dr

Holiday, FL 346903807

Telephone 7279422577

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Holiday, FL

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

Practicing in Holiday, 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 DN5136

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

4 Associated Practitioners
Dr. Shervin Ardalani , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1144414574

Doctor of Dental Medicine

John Singer

Dentist - General Practice

NPI 1447313549
Laura Habner

Dentist - General Practice

NPI 1457414559
Fuad Malki

Dentist - Periodontics

NPI 1750410304

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 December 10, 2018

Record deactivated on December 10, 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 4639 SUNRAY DR, HOLIDAY, FL 346903807 (Tel: 7279422577)

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Updated Business Mailing Address July 08, 2007

Registered at 1770 N WICKHAM RD, MELBOURNE, FL 329358122

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOEL BARAK

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

Dentist (License #DN5136 in FL)

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Initial NPI Registration & Enumeration December 20, 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: 1568526978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2006
Last Update: July 08, 2007
Deactivation Date: December 10, 2018

Mailing Address

1770 N Wickham Rd

Melbourne, FL 329358122

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.