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Deactivated NPI 1710908751 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Paul De Garavilla , DMD

Dentist - General Practice • Melrose, 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. Stephen De Garavilla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2006
NPI Deactivation Date March 15, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen De Garavilla, DMD was a registered Dentist - General Practice practicing in Melrose, MA. Throughout an active medical career spanning 17 years, Dr. De Garavilla provided care at the practice location at 156 MAIN ST until profile deactivation on 2023-03-15.

Practice Location & Contact Primary Location

Practice Address

156 Main St

Melrose, MA 021765227

Telephone 7816654989

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Melrose, MA

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

Practicing in Melrose, 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 MA 14567

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.

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 March 15, 2023

Record deactivated on March 15, 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 156 MAIN ST, MELROSE, MA 021765227 (Tel: 7816654989)

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Updated Business Mailing Address July 08, 2007

Registered at 156 MAIN ST, MELROSE, MA 021765227 (Tel: 7816654989)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN DE GARAVILLA, D.M.D.

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

Dentist (License #MA 14567 in MA)

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Initial NPI Registration & Enumeration July 23, 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: 1710908751
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2006
Last Update: July 08, 2007
Deactivation Date: March 15, 2023

Mailing Address

156 Main St

Melrose, MA 021765227

Phone: 7816654989

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.