Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1871712158 Deactivated / Inactive NPI Male Practitioner

Dr. W. Craig Mccroba , DDS

Dentist - General Practice • Macon, GA

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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. W. Mccroba has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2007
NPI Deactivation Date December 12, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. W. Mccroba, DDS was a registered Dentist - General Practice practicing in Macon, GA. Throughout an active medical career spanning 11 years, Dr. Mccroba provided care at the practice location at 4076 HOUSTON AVE until profile deactivation on 2018-12-12.

Practice Location & Contact Primary Location

Practice Address

4076 Houston Ave

Macon, GA 312062571

Telephone 4787817253
Fax 4787810925

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
65 Specialists

Practicing in Macon, GA (3302 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 GA GN008690

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 December 12, 2018

Record deactivated on December 12, 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 4076 HOUSTON AVE, MACON, GA 312062571 (Tel: 4787817253)

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Updated Business Mailing Address July 08, 2007

Registered at 4076 HOUSTON AVE, MACON, GA 312062571 (Tel: 4787817253)

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Provider Name / Credentials Updated July 08, 2007

Recorded as W. MCCROBA, D.D.S.

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

Dentist (License #GN008690 in GA)

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Initial NPI Registration & Enumeration April 24, 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: 1871712158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: July 08, 2007
Deactivation Date: December 12, 2018

Mailing Address

4076 Houston Ave

Macon, GA 312062571

Phone: 4787817253

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.