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Deactivated NPI 1992783740 Deactivated / Inactive NPI Male Practitioner

Dr. Ted Lynn Fullhart , DDS

Dentist - General Practice • Muncie, 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. Ted Fullhart has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2006
NPI Deactivation Date August 02, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ted Fullhart, DDS was a registered Dentist - General Practice practicing in Muncie, IN. Throughout an active medical career spanning 17 years, Dr. Fullhart provided care at the practice location at 3715 S MADISON ST until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

3715 S Madison St

Muncie, IN 473025756

Telephone 7652867000
Fax 7652132769
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Muncie, IN

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

Practicing in Muncie, 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 12006009A

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

40 Associated Practitioners
Misty Ammon , RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003760851

Registered Nurse

Diana Harris , NP

Nurse Practitioner - Family

NPI 1003764382

Nurse Practitioner

NPI 1033505375

Doctor of Medicine (M.D.)

Samuel Mwangi , NP

Nurse Practitioner - Adult Health

NPI 1043562259

Nurse Practitioner

Dama O'keefe , NP

Nurse Practitioner - Family

NPI 1063834737

Nurse Practitioner

Tamara Newsome , NP

Nurse Practitioner - Family

NPI 1083205223

Nurse Practitioner

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 August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active June 01, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 01, 2011

Registered at 3715 S MADISON ST, MUNCIE, IN 473025756 (Tel: 7652867000)

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Updated Business Mailing Address June 01, 2011

Registered at PO BOX 1676, MUNCIE, IN 473081676 (Tel: 7652867000)

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Provider Name / Credentials Updated June 01, 2011

Recorded as TED FULLHART, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2011

Dentist (License #12006009A in IN)

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Initial NPI Registration & Enumeration January 03, 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: 1992783740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2006
Last Update: June 01, 2011
Deactivation Date: August 02, 2023

Mailing Address

Po Box 1676

Muncie, IN 473081676

Phone: 7652867000

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.