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Deactivated NPI 1003017500 Deactivated / Inactive NPI Male Practitioner

Dr. Walter Kane Holman , DMD

Dentist • Mattapan, 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. Walter Holman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2007
NPI Deactivation Date December 26, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Holman, DMD was a registered Dentist practicing in Mattapan, MA. Throughout an active medical career spanning 11 years, Dr. Holman provided care at the practice location at 130 BABSON ST until profile deactivation on 2018-12-26.

Practice Location & Contact Primary Location

Practice Address

130 Babson St

Mattapan, MA 021262229

Telephone 6172982654
Fax 6172987110

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mattapan, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
10 Specialists

Practicing in Mattapan, 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 9843

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.

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 26, 2018

Record deactivated on December 26, 2018

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 130 BABSON ST, MATTAPAN, MA 021262229 (Tel: 6172982654)

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Updated Business Mailing Address July 08, 2007

Registered at 24 ADAMSON ST, ALLSTON, MA 021341306 (Tel: 6172545520)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER HOLMAN, DMD

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

Dentist (License #9843 in MA)

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Initial NPI Registration & Enumeration May 30, 2007

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: 1003017500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: July 08, 2007
Deactivation Date: December 26, 2018

Mailing Address

24 Adamson St

Allston, MA 021341306

Phone: 6172545520

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.