Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083627251 Deactivated / Inactive NPI Male Practitioner

Dr. Fred Thomas Mackenzie , DMD

Dentist - General Practice • Beverly, MA

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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. Fred Mackenzie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2006
NPI Deactivation Date September 27, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Mackenzie, DMD was a registered Dentist - General Practice practicing in Beverly, MA. Throughout an active medical career spanning 17 years, Dr. Mackenzie provided care at the practice location at 266 CABOT ST until profile deactivation on 2023-09-27.

Practice Location & Contact Primary Location

Practice Address

266 Cabot St
Ste #1

Beverly, MA 01915

Telephone 9789271188
Fax 9789215012
Associated Practice Facility / Clinic
🏢 Hearing Healthcare Associates Facility NPI 1912192485

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beverly, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Beverly, MA (3722 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 MA MA12112

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

4 Associated Practitioners
NPI 1023011061

Doctor of Audiology

Bonnie Chesley , LMHC

Counselor - Mental Health

NPI 1700101763

Licensed Mental Health Counselor

NPI 1770773806

LICAC

Dr. Gregory Gough , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1790843084

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 September 27, 2023

Record deactivated on September 27, 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 266 CABOT ST, STE #1, BEVERLY, MA 01915 (Tel: 9789271188)

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Updated Business Mailing Address July 08, 2007

Registered at 266 CABOT ST, STE #1, BEVERLY, MA 01915 (Tel: 9789271188)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FRED MACKENZIE, DMD

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

Dentist (License #MA12112 in MA)

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Initial NPI Registration & Enumeration August 15, 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: 1083627251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: July 08, 2007
Deactivation Date: September 27, 2023

Mailing Address

266 Cabot St, Ste #1

Beverly, MA 01915

Phone: 9789271188

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.