Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1740496694 Deactivated / Inactive NPI Male Practitioner

Dr. Willie L Grace , DDS

Dentist • Maitland, 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. Willie Grace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2007
NPI Deactivation Date January 31, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Willie Grace, DDS was a registered Dentist practicing in Maitland, FL. Throughout an active medical career spanning 15 years, Dr. Grace provided care at the practice location at 600 S ORLANDO AVE until profile deactivation on 2022-01-31.

Practice Location & Contact Primary Location

Practice Address

600 S Orlando Ave
Suite 102

Maitland, FL 327515660

Telephone 4077404110
Fax 4077408365
Associated Practice Facility / Clinic
🏢 Maitland Vision Center Facility NPI 1831376953

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Maitland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Maitland, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN7708

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1962486654

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 January 31, 2022

Record deactivated on January 31, 2022

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 600 S ORLANDO AVE, SUITE 102, MAITLAND, FL 327515660 (Tel: 4077404110)

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Updated Business Mailing Address July 08, 2007

Registered at 109 E CUMBERLAND CIR, LONGWOOD, FL 327795606 (Tel: 4078697526)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIE GRACE, DDS

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

Dentist (License #DN7708 in FL)

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Initial NPI Registration & Enumeration May 15, 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: 1740496694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: July 08, 2007
Deactivation Date: January 31, 2022

Mailing Address

109 E Cumberland Cir

Longwood, FL 327795606

Phone: 4078697526

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.