Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689218901 Deactivated / Inactive NPI Male Practitioner

Dr. Pradeep Kumar Mohapatra , DDS

Dentist - General Practice • Waterville, 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. Pradeep Mohapatra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2019
NPI Deactivation Date December 08, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Pradeep Mohapatra, DDS was a registered Dentist - General Practice practicing in Waterville, ME. Throughout an active medical career spanning 1 years, Dr. Mohapatra provided care at the practice location at 185 MAIN STREET until profile deactivation on 2020-12-08.

Practice Location & Contact Primary Location

Practice Address

185 Main Street

Waterville, ME 04901

Telephone 2078726815
Fax 2078726888
Associated Practice Facility / Clinic
🏢 American Dental Associates Facility NPI 1245484310

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterville, ME

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

Practicing in Waterville, 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 DEN4747

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

3 Associated Practitioners
Alden Hurtig

Dentist - General Practice

NPI 1073160644
Dr. Rhobor Uviasah , DMD

Dentist - General Practice

NPI 1356637987

Doctor of Dental Medicine

Jaimie Jollotta , RDH

Dental Hygienist

NPI 1588234082

Registered Dental Hygienist

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 December 08, 2020

Record deactivated on December 08, 2020

NPI Profile Active October 30, 2019

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2019

Registered at 185 MAIN STREET, WATERVILLE, ME 04901 (Tel: 2078726815)

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Updated Business Mailing Address October 30, 2019

Registered at 170 FORT YORK BLVD, SUITE - 702, TORONTO, ONTARIO M5V0E6

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Provider Name / Credentials Updated October 30, 2019

Recorded as PRADEEP MOHAPATRA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Dentist (License #DEN4747 in ME)

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Initial NPI Registration & Enumeration October 30, 2019

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: 1689218901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2019
Last Update: October 30, 2019
Deactivation Date: December 08, 2020

Mailing Address

170 Fort York Blvd, Suite - 702

Toronto, ONTARIO M5V0E6

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.