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Deactivated NPI 1033267208 Deactivated / Inactive NPI Male Practitioner

Dr. Gerard Joseph Thibault , DDS

Dentist - General Practice • Springfield, 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. Gerard Thibault has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 06, 2007
NPI Deactivation Date July 31, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Gerard Thibault, DDS was a registered Dentist - General Practice practicing in Springfield, MA. Throughout an active medical career spanning 17 years, Dr. Thibault provided care at the practice location at 43 SULLIVAN ST until profile deactivation on 2024-07-31.

Practice Location & Contact Primary Location

Practice Address

43 Sullivan St

Springfield, MA 011042415

Telephone 4137855566
Fax 4137855568
Associated Practice Facility / Clinic
🏢 Vijay Gaddam Pc Facility NPI 1730432162

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MA

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

Practicing in Springfield, 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 10930

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

1 Associated Practitioners
Angela Gutierrez , MA

Counselor - Mental Health

NPI 1376202002

Master of Arts

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 31, 2024

Record deactivated on July 31, 2024

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 43 SULLIVAN ST, SPRINGFIELD, MA 011042415 (Tel: 4137855566)

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Updated Business Mailing Address July 08, 2007

Registered at 43 SULLIVAN ST, SPRINGFIELD, MA 011042415 (Tel: 4137855566)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERARD THIBAULT, D.D.S.

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

Dentist (License #10930 in MA)

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Initial NPI Registration & Enumeration January 06, 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: 1033267208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2007
Last Update: July 08, 2007
Deactivation Date: July 31, 2024

Mailing Address

43 Sullivan St

Springfield, MA 011042415

Phone: 4137855566

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.