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Deactivated NPI 1063563948 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Edward Eggleton , DDS

Dentist - General Practice • Bangor, ME

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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. Mark Eggleton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2007
NPI Deactivation Date June 05, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Eggleton, DDS was a registered Dentist - General Practice practicing in Bangor, ME. Throughout an active medical career spanning 17 years, Dr. Eggleton provided care at the practice location at 715 HAMMOND ST until profile deactivation on 2024-06-05.

Practice Location & Contact Primary Location

Practice Address

715 Hammond St

Bangor, ME 044014515

Telephone 2079456493
Fax 2079476003

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bangor, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Bangor, ME (547 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 ME 2747

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

2 Associated Practitioners
Dr. Rebekah Blanchette , DDS

Dentist - General Practice

NPI 1740591882

Doctor of Dental Surgery

NPI 1942389044

Doctor of Dental Surgery

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 June 05, 2024

Record deactivated on June 05, 2024

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 715 HAMMOND ST, BANGOR, ME 044014515 (Tel: 2079456493)

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Updated Business Mailing Address July 08, 2007

Registered at 715 HAMMOND ST, BANGOR, ME 044014515 (Tel: 2079456493)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK EGGLETON, DDS

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

Dentist (License #2747 in ME)

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Initial NPI Registration & Enumeration January 16, 2007

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: 1063563948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Deactivation Date: June 05, 2024

Mailing Address

715 Hammond St

Bangor, ME 044014515

Phone: 2079456493

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.