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Deactivated NPI 1164580007 Deactivated / Inactive NPI Male Practitioner

Marvin Ira Berman , MARVIN BERMAN

Dentist - General Practice • Peabody, 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, Marvin Berman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2006
NPI Deactivation Date January 18, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Marvin Berman, MARVIN BERMAN was a registered Dentist - General Practice practicing in Peabody, MA. Throughout an active medical career spanning 17 years, Marvin Berman provided care at the practice location at 616 LOWELL ST until profile deactivation on 2023-01-18.

Practice Location & Contact Primary Location

Practice Address

616 Lowell St

Peabody, MA 019602317

Telephone 9785353770
Fax 9785359035

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Peabody, MA

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

Practicing in Peabody, 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 8320

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 January 18, 2023

Record deactivated on January 18, 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 616 LOWELL ST, PEABODY, MA 019602317 (Tel: 9785353770)

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Updated Business Mailing Address July 08, 2007

Registered at 616 LOWELL ST, PEABODY, MA 019602317 (Tel: 9785353770)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARVIN BERMAN, MARVIN BERMAN

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

Dentist (License #8320 in MA)

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Initial NPI Registration & Enumeration December 04, 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: 1164580007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: July 08, 2007
Deactivation Date: January 18, 2023

Mailing Address

616 Lowell St

Peabody, MA 019602317

Phone: 9785353770

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.