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Deactivated NPI 1710089123 Deactivated / Inactive NPI Male Practitioner

Dr. Michel Robert Sturm , DDS

Dentist - General Practice • Fort Wayne, 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. Michel Sturm has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2006
NPI Deactivation Date June 14, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michel Sturm, DDS was a registered Dentist - General Practice practicing in Fort Wayne, IN. Throughout an active medical career spanning 12 years, Dr. Sturm provided care at the practice location at 4302 EAST STATE BOULEVARD until profile deactivation on 2018-06-14.

Practice Location & Contact Primary Location

Practice Address

4302 East State Boulevard

Fort Wayne, IN 468156971

Telephone 2604830052
Fax 2604831777

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
148 Specialists

Practicing in Fort Wayne, 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 12007072

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 June 14, 2018

Record deactivated on June 14, 2018

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 4302 EAST STATE BOULEVARD, FORT WAYNE, IN 468156971 (Tel: 2604830052)

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Updated Business Mailing Address July 08, 2007

Registered at 4302 EAST STATE BOULEVARD, FORT WAYNE, IN 468156971 (Tel: 2604830052)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHEL STURM, DDS

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

Dentist (License #12007072 in IN)

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Initial NPI Registration & Enumeration September 05, 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: 1710089123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2006
Last Update: July 08, 2007
Deactivation Date: June 14, 2018

Mailing Address

4302 East State Boulevard

Fort Wayne, IN 468156971

Phone: 2604830052

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.