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Deactivated NPI 1659307502 Deactivated / Inactive NPI Male Practitioner

Dr. R. Joseph Libby , DMD

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. R. Libby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 23, 2006
NPI Deactivation Date September 11, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. R. Libby, DMD was a registered Dentist - General Practice practicing in Bangor, ME. Throughout an active medical career spanning 18 years, Dr. Libby provided care at the practice location at 875 HAMMOND ST until profile deactivation on 2024-09-11.

Practice Location & Contact Primary Location

Practice Address

875 Hammond St

Bangor, ME 044014303

Telephone 2079478861
Fax 2079472643
Associated Practice Facility / Clinic
🏢 R. Joseph Libby, D.m.d., P.a. Facility NPI 1235186271

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 2775

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

1 Associated Practitioners
Dr. John Caruso , DMD

Dentist - General Practice

NPI 1972664431

Doctor of Dental Medicine

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 September 11, 2024

Record deactivated on September 11, 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 875 HAMMOND ST, BANGOR, ME 044014303 (Tel: 2079478861)

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Updated Business Mailing Address July 08, 2007

Registered at 875 HAMMOND ST, BANGOR, ME 044014303 (Tel: 2079478861)

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Provider Name / Credentials Updated July 08, 2007

Recorded as R. LIBBY, D.M.D.

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

Dentist (License #2775 in ME)

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Initial NPI Registration & Enumeration June 23, 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: 1659307502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: July 08, 2007
Deactivation Date: September 11, 2024

Mailing Address

875 Hammond St

Bangor, ME 044014303

Phone: 2079478861

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.