Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1720583164 Deactivated / Inactive NPI Male Practitioner

Theodore Frederic Engel

Dentist - General Practice • Boston, 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, Theodore Engel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2018
NPI Deactivation Date July 03, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Theodore Engel was a registered Dentist - General Practice practicing in Boston, MA. Throughout an active medical career spanning 6 years, Theodore Engel provided care at the practice location at 100 E NEWTON ST until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

100 E Newton St

Boston, MA 021182308

Telephone 6176388000
Associated Practice Facility / Clinic
🏢 Trustees Of Boston University Facility NPI 1154331916

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
402 Specialists

Practicing in Boston, 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 8138

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

40 Associated Practitioners
Dr. Jeffrey Sellman , MD

Internal Medicine

NPI 1003348913

Doctor of Medicine (M.D.)

NPI 1003494246
Madelyn Chamis

Physician Assistant

NPI 1003500059
NPI 1003518317

Doctor of Medicine (M.D.)

Sofia Pham

Student in an Organized Health Care Education/Training Program

NPI 1003764390
Dr. Temitayo Okubanjo , PharmD, BCPS

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1003960402

Doctor of Pharmacy (Pharm.D.), BCPS

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 July 03, 2024

Record deactivated on July 03, 2024

NPI Profile Active March 28, 2018

NPI status registered as active in NPPES database

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Updated Practice Location March 28, 2018

Registered at 100 E NEWTON ST, BOSTON, MA 021182308 (Tel: 6176388000)

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Updated Business Mailing Address March 28, 2018

Registered at 100 E NEWTON ST OFC 428, BOSTON, MA 021182308

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Provider Name / Credentials Updated March 28, 2018

Recorded as THEODORE ENGEL

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2018

Dentist (License #8138 in MA)

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Initial NPI Registration & Enumeration March 28, 2018

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: 1720583164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2018
Last Update: March 28, 2018
Deactivation Date: July 03, 2024

Mailing Address

100 E Newton St Ofc 428

Boston, MA 021182308

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.