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Deactivated NPI 1316959513 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel C Fackrell , DMD

Dentist - Endodontics • Biddeford, 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. Daniel Fackrell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 13, 2006
NPI Deactivation Date September 04, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Fackrell, DMD was a registered Dentist - Endodontics practicing in Biddeford, ME. Throughout an active medical career spanning 18 years, Dr. Fackrell provided care at the practice location at 413 ALFRED ST until profile deactivation on 2024-09-04.

Practice Location & Contact Primary Location

Practice Address

413 Alfred St

Biddeford, ME 040053742

Telephone 2075714655
Fax 2075714657
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Biddeford, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Biddeford, ME (19 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License ME 4291

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1760504534

Doctor of Chiropractic

Erica Chaffey , PA-C

Physician Assistant - Medical

NPI 1801060322

Physician Assistant (Certified)

Jennifer Alcorn , LMT

Massage Therapist

NPI 1811127681

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated September 04, 2024

Record deactivated on September 04, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2024

Dentist (License #6218732 in UT)

NPI Profile Active November 07, 2017

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2017

Registered at 1330 CONGRESS ST, PORTLAND, ME 041022144 (Tel: 2078790010)

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Updated Business Mailing Address November 07, 2017

Registered at 1330 CONGRESS ST, PORTLAND, ME 041022144 (Tel: 2078790010)

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Provider Name / Credentials Updated November 07, 2017

Recorded as DANIEL FACKRELL, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2017

Dentist (License #4291 in ME)

NPI Profile Active March 26, 2013

NPI status registered as active in NPPES database

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Updated Practice Location March 26, 2013

Registered at 413 ALFRED ST, BIDDEFORD, ME 040053742 (Tel: 2075714655)

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Updated Business Mailing Address March 26, 2013

Registered at 413 ALFRED ST, BIDDEFORD, ME 040053742 (Tel: 2075714655)

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Provider Name / Credentials Updated March 26, 2013

Recorded as DANIEL FACKRELL, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2013

Dentist (License #4291 in ME)

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Initial NPI Registration & Enumeration August 13, 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: 1316959513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: March 26, 2013
Deactivation Date: September 04, 2024

Mailing Address

413 Alfred St

Biddeford, ME 040053742

Phone: 2075714655

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.