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Deactivated NPI 1417352949 Deactivated / Inactive NPI Female Practitioner

Dr. Susanne Largura Benedict , DDS

Dentist • Indianapolis, 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. Susanne Benedict has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2014
NPI Deactivation Date July 28, 2021
Total Practice Duration ~7 Years of Practice (2014 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Susanne Benedict, DDS was a registered Dentist practicing in Indianapolis, IN. Throughout an active medical career spanning 7 years, Dr. Benedict provided care at the practice location at 1121 W MICHIGAN ST until profile deactivation on 2021-07-28.

Practice Location & Contact Primary Location

Practice Address

1121 W Michigan St

Indianapolis, IN 462025211

Telephone 3172745141
Fax 3172783018
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Indianapolis, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
361 Specialists

Practicing in Indianapolis, 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 12010138A

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Margot Van Dis , DDS

Dentist - Oral and Maxillofacial Radiology

NPI 1396878799

Doctor of Dental Surgery

NPI 1780754846

Doctor of Dental Surgery

NPI 1982702502

Doctor of Dental Medicine

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 28, 2021

Record deactivated on July 28, 2021

NPI Profile Active October 27, 2014

NPI status registered as active in NPPES database

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Updated Practice Location October 27, 2014

Registered at 1121 W MICHIGAN ST, INDIANAPOLIS, IN 462025211 (Tel: 3172745141)

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Updated Business Mailing Address October 27, 2014

Registered at 1121 W MICHIGAN ST, INDIANAPOLIS, IN 462025211 (Tel: 3172745141)

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Provider Name / Credentials Updated October 27, 2014

Recorded as SUSANNE BENEDICT, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2014

Dentist (License #12010138A in IN)

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Initial NPI Registration & Enumeration October 27, 2014

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: 1417352949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2014
Last Update: October 27, 2014
Deactivation Date: July 28, 2021

Mailing Address

1121 W Michigan St

Indianapolis, IN 462025211

Phone: 3172745141

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.