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Deactivated NPI 1538155510 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Adrian Pavlick , DDS

Dentist - General Practice • Mulvane, KS

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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. Michael Pavlick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 23, 2005
NPI Deactivation Date October 06, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pavlick, DDS was a registered Dentist - General Practice practicing in Mulvane, KS. Throughout an active medical career spanning 18 years, Dr. Pavlick provided care at the practice location at 114 E MAIN ST until profile deactivation on 2023-10-06.

Practice Location & Contact Primary Location

Practice Address

114 E Main St

Mulvane, KS 671101751

Telephone 3167770103

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mulvane, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Mulvane, KS (1140 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 KS 5779

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

7 Historical Events
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NPI Profile Deactivated October 06, 2023

Record deactivated on October 06, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 114 E MAIN ST, MULVANE, KS 671101751 (Tel: 3167770103)

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Updated Business Mailing Address July 08, 2007

Registered at 7602 FOSTER ST, WICHITA, KS 672063811 (Tel: 3166346960)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL PAVLICK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5779 in KS)

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Initial NPI Registration & Enumeration September 23, 2005

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: 1538155510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2005
Last Update: July 08, 2007
Deactivation Date: October 06, 2023

Mailing Address

7602 Foster St

Wichita, KS 672063811

Phone: 3166346960

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.