Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164448726 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Richard Malt , DDS

Dentist - General Practice • Jupiter, 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. Charles Malt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 15, 2006
NPI Deactivation Date January 09, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Malt, DDS was a registered Dentist - General Practice practicing in Jupiter, FL. Throughout an active medical career spanning 12 years, Dr. Malt provided care at the practice location at 725 N HIGHWAY A1A until profile deactivation on 2018-01-09.

Practice Location & Contact Primary Location

Practice Address

725 N Highway A1a
Suite D-107

Jupiter, FL 334774571

Telephone 5617467436
Fax 5617467437
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jupiter, FL

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

Practicing in Jupiter, 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 DN - 4883

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

1 Associated Practitioners
Dr. Erik Zudans , DMD

Dentist - General Practice

NPI 1972698033

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 January 09, 2018

Record deactivated on January 09, 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 725 N HIGHWAY A1A, SUITE D-107, JUPITER, FL 334774571 (Tel: 5617467436)

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Updated Business Mailing Address July 08, 2007

Registered at 18843 SE JUPITER RIVER DR, JUPITER, FL 334581011 (Tel: 5617468300)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES MALT, D.D.S.

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

Dentist (License #DN - 4883 in FL)

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Initial NPI Registration & Enumeration July 15, 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: 1164448726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2006
Last Update: July 08, 2007
Deactivation Date: January 09, 2018

Mailing Address

18843 Se Jupiter River Dr

Jupiter, FL 334581011

Phone: 5617468300

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.