Dr. Herbert Outlaw , DDS
Dentist - General Practice • Roswell, GA
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. Herbert Outlaw has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Herbert Outlaw, DDS was a registered Dentist - General Practice practicing in Roswell, GA. Throughout an active medical career spanning 12 years, Dr. Outlaw provided care at the practice location at 220 TALLWOOD TER until profile deactivation on 2022-08-12.
Practice Location & Contact Primary Location
220 Tallwood Ter
Roswell, GA 300763034
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Roswell, GA
Practicing in Roswell, GA (3302 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on August 12, 2022
NPI status registered as active in NPPES database
Registered at 220 TALLWOOD TER, ROSWELL, GA 300763034 (Tel: 7702897552)
Registered at 220 TALLWOOD TERRACE, ROSWELL, GA 30076 (Tel: 7702897552)
Recorded as HERBERT OUTLAW, DDS
Dentist (License #DN009695 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
220 Tallwood Terrace
Roswell, GA 30076
Phone: 7702897552
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