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Deactivated NPI 1124329784 Deactivated / Inactive NPI Male Practitioner

Dr. Wallace Shaw De Puy , DDS

Dentist - General Practice • Naples, 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. Wallace De Puy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 12, 2010
NPI Deactivation Date March 25, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Wallace De Puy, DDS was a registered Dentist - General Practice practicing in Naples, FL. Throughout an active medical career spanning 9 years, Dr. De Puy provided care at the practice location at 2176 TAMIAMI TRL N until profile deactivation on 2019-03-25.

Practice Location & Contact Primary Location

Practice Address

2176 Tamiami Trl N

Naples, FL 341024808

Telephone 2394037200
Fax 2394037199
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Naples, FL

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

Practicing in Naples, 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 DN4881

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
NPI 1013325935

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 March 25, 2019

Record deactivated on March 25, 2019

NPI Profile Active November 12, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 12, 2010

Registered at 2176 TAMIAMI TRL N, NAPLES, FL 341024808 (Tel: 2394037200)

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Updated Business Mailing Address November 12, 2010

Registered at 110 EGRET AVE, NAPLES, FL 341082162 (Tel: 2395973242)

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Provider Name / Credentials Updated November 12, 2010

Recorded as WALLACE DE PUY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2010

Dentist (License #DN4881 in FL)

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Initial NPI Registration & Enumeration November 12, 2010

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: 1124329784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2010
Last Update: November 12, 2010
Deactivation Date: March 25, 2019

Mailing Address

110 Egret Ave

Naples, FL 341082162

Phone: 2395973242

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.