Dr. Douglas K. Tolle , DDS
Dentist - General Practice • Bremen, IN
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. Douglas Tolle has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Douglas Tolle, DDS was a registered Dentist - General Practice practicing in Bremen, IN. Throughout an active medical career spanning 17 years, Dr. Tolle provided care at the practice location at 1712 W PLYMOUTH ST until profile deactivation on 2023-02-22.
Practice Location & Contact Primary Location
1712 W Plymouth St
Bremen, IN 465061940
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Bremen, IN
Practicing in Bremen, IN (2204 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 February 22, 2023
NPI status registered as active in NPPES database
Registered at 1712 W PLYMOUTH ST, BREMEN, IN 465061940 (Tel: 5745462851)
Registered at 136 TULIP CIR, BREMEN, IN 465068701 (Tel: 5745460514)
Recorded as DOUGLAS TOLLE, D.D.S.
Dentist (License #12009790 in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
136 Tulip Cir
Bremen, IN 465068701
Phone: 5745460514
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