Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1164861555 Deactivated / Inactive NPI Male Practitioner

Dr. David Light , DMD

Dentist - General Practice • Winter Garden, 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. David Light has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2013
NPI Deactivation Date May 09, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. David Light, DMD was a registered Dentist - General Practice practicing in Winter Garden, FL. Throughout an active medical career spanning 9 years, Dr. Light provided care at the practice location at 14713 SUGURA DR until profile deactivation on 2022-05-09.

Practice Location & Contact Primary Location

Practice Address

14713 Sugura Dr

Winter Garden, FL 347879336

Telephone 4072385793
Associated Practice Facility / Clinic
🏢 United Dental Associates Facility NPI 1588959159

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Winter Garden, FL

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

Practicing in Winter Garden, 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 PA DS025759L

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.

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 May 09, 2022

Record deactivated on May 09, 2022

NPI Profile Active June 18, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2013

Registered at 14713 SUGURA DR, WINTER GARDEN, FL 347879336 (Tel: 4072385793)

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Updated Business Mailing Address June 18, 2013

Registered at 14713 SUGURA DR, WINTER GARDEN, FL 347879336 (Tel: 4072385793)

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Provider Name / Credentials Updated June 18, 2013

Recorded as DAVID LIGHT, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2013

Dentist (License #DS025759L in PA)

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Initial NPI Registration & Enumeration June 18, 2013

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: 1164861555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2013
Last Update: June 18, 2013
Deactivation Date: May 09, 2022

Mailing Address

14713 Sugura Dr

Winter Garden, FL 347879336

Phone: 4072385793

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.