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Deactivated NPI 1215041546 Deactivated / Inactive NPI Male Practitioner

Dr. John G Branz , DDS

Dentist - General Practice • Wallace, ID

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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. John Branz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2006
NPI Deactivation Date July 17, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Branz, DDS was a registered Dentist - General Practice practicing in Wallace, ID. Throughout an active medical career spanning 19 years, Dr. Branz provided care at the practice location at 413 PINE ST until profile deactivation on 2025-07-17.

Practice Location & Contact Primary Location

Practice Address

413 Pine St

Wallace, ID 83873

Telephone 2087524681
Fax 2087521259
Associated Practice Facility / Clinic
🏢 Dr John G Branz Facility NPI 1851550800

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wallace, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Wallace, ID (781 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 ID D1357

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 July 17, 2025

Record deactivated on July 17, 2025

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 413 PINE ST, WALLACE, ID 83873 (Tel: 2087524681)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 558, 413 PINE STREET, WALLACE, ID 83873 (Tel: 2087524681)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BRANZ, DDS

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

Dentist (License #D1357 in ID)

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Initial NPI Registration & Enumeration August 17, 2006

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: 1215041546
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: July 08, 2007
Deactivation Date: July 17, 2025

Mailing Address

Po Box 558, 413 Pine Street

Wallace, ID 83873

Phone: 2087524681

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.