Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629120548 Deactivated / Inactive NPI Male Practitioner

Dr. Bert Chodorov , DDS MAGD ABGD

Dentist • Melbourne, 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. Bert Chodorov has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2007
NPI Deactivation Date August 02, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Bert Chodorov, DDS MAGD ABGD was a registered Dentist practicing in Melbourne, FL. Throughout an active medical career spanning 16 years, Dr. Chodorov provided care at the practice location at 2990 BUSINESS CENTER BLVD until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

2990 Business Center Blvd

Melbourne, FL 32940

Telephone 3212540306
Fax 3212540348
Associated Practice Facility / Clinic
🏢 321 Family Dental Pllc Facility NPI 1447172499

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Melbourne, FL

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

Practicing in Melbourne, 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 2868

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 1710184973

Doctor of Dental Surgery

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 August 02, 2023

Record deactivated on August 02, 2023

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 2990 BUSINESS CENTER BLVD, MELBOURNE, FL 32940 (Tel: 3212540306)

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Updated Business Mailing Address July 08, 2007

Registered at 2990 BUSINESS CENTER BLVD, MELBOURNE, FL 32940 (Tel: 3212540306)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BERT CHODOROV, DDS MAGD ABGD

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

Dentist (License #2868 in FL)

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Initial NPI Registration & Enumeration January 18, 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: 1629120548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 08, 2007
Deactivation Date: August 02, 2023

Mailing Address

2990 Business Center Blvd

Melbourne, FL 32940

Phone: 3212540306

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.