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Deactivated NPI 1033134945 Deactivated / Inactive NPI Female Practitioner

Dr. Susan Han , DMD

Dentist • Brookline, 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. Susan Han has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2006
NPI Deactivation Date January 24, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Susan Han, DMD was a registered Dentist practicing in Brookline, MA. Throughout an active medical career spanning 11 years, Dr. Han provided care at the practice location at 1180 BEACON ST until profile deactivation on 2017-01-24.

Practice Location & Contact Primary Location

Practice Address

1180 Beacon St
Suite 2b

Brookline, MA 024463885

Telephone 6172774100
Associated Practice Facility / Clinic
🏢 Biocardia Diagnostics Inc Facility NPI 1467423038

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Brookline, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
49 Specialists

Practicing in Brookline, MA (3030 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN1855274

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Russell Taylor , DMD, MSC, BSC

Dentist - General Practice

NPI 1477982635

Doctor of Dental Medicine, Master of Science, BSC

NPI 1871881193

Doctor of Dental Medicine

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Reactivated May 17, 2017

Record officially reactivated for active practice on May 17, 2017

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Updated Practice Location May 17, 2017

Registered at 1180 BEACON ST, SUITE 2B, BROOKLINE, MA 024463885 (Tel: 6172774100)

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Updated Business Mailing Address May 17, 2017

Registered at 1180 BEACON ST, SUITE 2B, BROOKLINE, MA 024463885 (Tel: 6172774100)

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Provider Name / Credentials Updated May 17, 2017

Recorded as SUSAN HAN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Dentist (License #DN1855274 in MA)

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NPI Profile Deactivated January 24, 2017

Record deactivated on January 24, 2017

NPI Profile Active December 20, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 20, 2016

Registered at 1180 BEACON ST, SUITE 2B, BROOKLINE, MA 024463885 (Tel: 6172774100)

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Updated Business Mailing Address December 20, 2016

Registered at 1180 BEACON ST, SUITE 2B, BROOKLINE, MA 024463885 (Tel: 6172774100)

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Provider Name / Credentials Updated December 20, 2016

Recorded as SUSAN HAN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2016

Dentist (License #DN1855274 in MA)

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Initial NPI Registration & Enumeration July 12, 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: 1033134945
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: May 17, 2017
Deactivation Date: January 24, 2017
Sole Proprietor: Yes

Mailing Address

1180 Beacon St, Suite 2b

Brookline, MA 024463885

Phone: 6172774100

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.