Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104978592 Deactivated / Inactive NPI Male Practitioner

Dr. Boris N Blinder , DMD

Dentist - General Practice • Worcester, 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. Boris Blinder has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 17, 2007
NPI Deactivation Date December 30, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Boris Blinder, DMD was a registered Dentist - General Practice practicing in Worcester, MA. Throughout an active medical career spanning 13 years, Dr. Blinder provided care at the practice location at 580 LINCOLN ST until profile deactivation on 2020-12-30.

Practice Location & Contact Primary Location

Practice Address

580 Lincoln St

Worcester, MA 016051916

Telephone 5088524646
Fax 5088537840
Associated Practice Facility / Clinic
🏢 Worcester Dental Smiles Facility NPI 1629686688

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Worcester, MA

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

Practicing in Worcester, 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 17199

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
Dr. George Wood , DC

Chiropractor - Sports Physician

NPI 1225170665

Doctor of Chiropractic

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 30, 2020

Record deactivated on December 30, 2020

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 580 LINCOLN ST, WORCESTER, MA 016051916 (Tel: 5088524646)

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Updated Business Mailing Address July 08, 2007

Registered at 580 LINCOLN ST, WORCESTER, MA 016051916 (Tel: 5088524646)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BORIS BLINDER, DMD

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

Dentist (License #17199 in MA)

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Initial NPI Registration & Enumeration January 17, 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: 1104978592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: July 08, 2007
Deactivation Date: December 30, 2020

Mailing Address

580 Lincoln St

Worcester, MA 016051916

Phone: 5088524646

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.