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Deactivated NPI 1083145387 Deactivated / Inactive NPI Male Practitioner

Vance Lopp

Dentist - General Practice • Elkhart, IN

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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, Vance Lopp has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 27, 2017
NPI Deactivation Date January 06, 2020
Total Practice Duration ~3 Years of Practice (2017 – 2020)

Professional Overview & Biography Verified Profile Summary

Vance Lopp was a registered Dentist - General Practice practicing in Elkhart, IN. Throughout an active medical career spanning 3 years, Vance Lopp provided care at the practice location at 1400 HUDSON ST until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

1400 Hudson St

Elkhart, IN 465162023

Telephone 5745226702
Associated Practice Facility / Clinic
🏢 Elkhart County Auditor Facility NPI 1568844777

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elkhart, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Elkhart, IN (2204 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 IN 12006210A

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kimberly Kelly

Dental Hygienist

NPI 1780328427
Samantha Shields

Dental Hygienist

NPI 1841935475

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 January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 27, 2017

Registered at 1400 HUDSON ST, ELKHART, IN 465162023 (Tel: 5745226702)

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Updated Business Mailing Address March 27, 2017

Registered at 6668 E WACO DR, SYRACUSE, IN 465679447 (Tel: 5744573720)

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Provider Name / Credentials Updated March 27, 2017

Recorded as VANCE LOPP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Dentist (License #12006210A in IN)

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Initial NPI Registration & Enumeration March 27, 2017

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: 1083145387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2017
Last Update: March 27, 2017
Deactivation Date: January 06, 2020

Mailing Address

6668 E Waco Dr

Syracuse, IN 465679447

Phone: 5744573720

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.