Dr. Thomas Michael Fake , DDS
Dentist - General Practice • Denison, IA
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. Thomas Fake has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Fake, DDS was a registered Dentist - General Practice practicing in Denison, IA. Throughout an active medical career spanning 17 years, Dr. Fake provided care at the practice location at 113 N 14TH ST until profile deactivation on 2023-07-26.
Practice Location & Contact Primary Location
113 N 14th St
Denison, IA 514421452
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Denison, IA
Practicing in Denison, IA (1303 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 July 26, 2023
NPI status registered as active in NPPES database
Registered at 113 N 14TH ST, DENISON, IA 514421452 (Tel: 7122635172)
Registered at 2620 WESTCOTT RD, DENISON, IA 514427626 (Tel: 7122635172)
Recorded as THOMAS FAKE, D.D.S.
Dentist (License #5562 in IA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2620 Westcott Rd
Denison, IA 514427626
Phone: 7122635172
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