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Deactivated NPI 1760569040 Deactivated / Inactive NPI Male Practitioner

Dr. Ray Samuel Hall , DDS

Dentist • Mount Vernon, 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. Ray Hall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date October 16, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ray Hall, DDS was a registered Dentist practicing in Mount Vernon, IN. Throughout an active medical career spanning 19 years, Dr. Hall provided care at the practice location at 8900 NATION RD until profile deactivation on 2025-10-16.

Practice Location & Contact Primary Location

Practice Address

8900 Nation Rd

Mount Vernon, IN 476209050

Telephone 8124555144

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mount Vernon, IN

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

Practicing in Mount Vernon, 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 12008391A

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 October 16, 2025

Record deactivated on October 16, 2025

NPI Profile Active June 20, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 20, 2016

Registered at 8900 NATION RD, MOUNT VERNON, IN 476209050 (Tel: 8124555144)

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Updated Business Mailing Address June 20, 2016

Registered at 8900 NATION RD, MOUNT VERNON, IN 476209050 (Tel: 8124555144)

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Provider Name / Credentials Updated June 20, 2016

Recorded as RAY HALL, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2016

Dentist (License #12008391A in IN)

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Initial NPI Registration & Enumeration November 01, 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: 1760569040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: June 20, 2016
Deactivation Date: October 16, 2025

Mailing Address

8900 Nation Rd

Mount Vernon, IN 476209050

Phone: 8124555144

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.