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Deactivated NPI 1740498567 Deactivated / Inactive NPI Male Practitioner

Dr. David Blaine , DDS

Dentist • Fishers, 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, Dr. David Blaine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 18, 2007
NPI Deactivation Date March 25, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. David Blaine, DDS was a registered Dentist practicing in Fishers, IN. Throughout an active medical career spanning 15 years, Dr. Blaine provided care at the practice location at 109 RUSH COURT until profile deactivation on 2022-03-25.

Practice Location & Contact Primary Location

Practice Address

109 Rush Court

Fishers, IN 46038

Telephone 2199221622
Fax 2199221056

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fishers, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Fishers, IN (1682 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IN 12006688

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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 March 25, 2022

Record deactivated on March 25, 2022

NPI Profile Active December 21, 2009

NPI status registered as active in NPPES database

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Updated Practice Location December 21, 2009

Registered at 109 RUSH COURT, FISHERS, IN 46038 (Tel: 2199221622)

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Updated Business Mailing Address December 21, 2009

Registered at 109 RUSH COURT, FISHERS, IN 46038 (Tel: 3178426837)

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Provider Name / Credentials Updated December 21, 2009

Recorded as DAVID BLAINE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2009

Dentist (License #12006688 in IN)

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Initial NPI Registration & Enumeration May 18, 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: 1740498567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2007
Last Update: December 21, 2009
Deactivation Date: March 25, 2022

Mailing Address

109 Rush Court

Fishers, IN 46038

Phone: 3178426837

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.