Dr. Richard Dennis Stackert , DDS
Dentist - General Practice • Valparaiso, IN
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. Richard Stackert has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Richard Stackert, DDS was a registered Dentist - General Practice practicing in Valparaiso, IN. Throughout an active medical career spanning 15 years, Dr. Stackert provided care at the practice location at 506 E EVANS AVENUE until profile deactivation on 2022-01-28.
Practice Location & Contact Primary Location
506 E Evans Avenue
Valparaiso, IN 46383
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Valparaiso, IN
Practicing in Valparaiso, IN (2204 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on January 28, 2022
NPI status registered as active in NPPES database
Registered at 506 E EVANS AVENUE, VALPARAISO, IN 46383 (Tel: 2195483706)
Registered at 506 E EVANS AVENUE, VALPARAISO, IN 46383 (Tel: 2195483706)
Recorded as RICHARD STACKERT, DDS
Dentist (License #12006988A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
506 E Evans Avenue
Valparaiso, IN 46383
Phone: 2195483706
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