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Deactivated NPI 1023167178 Deactivated / Inactive NPI Male Practitioner

Dr. David Bastianelli , DDS

Dentist - General Practice • Birmingham, MI

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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. David Bastianelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2007
NPI Deactivation Date February 27, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Bastianelli, DDS was a registered Dentist - General Practice practicing in Birmingham, MI. Throughout an active medical career spanning 18 years, Dr. Bastianelli provided care at the practice location at 522 E LINCOLN ST until profile deactivation on 2025-02-27.

Practice Location & Contact Primary Location

Practice Address

522 E Lincoln St

Birmingham, MI 480091791

Telephone 2486446688
Fax 2486443470
Associated Practice Facility / Clinic
🏢 David Bastianelli, Dds, Pllc Facility NPI 1609233402

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Birmingham, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
27 Specialists

Practicing in Birmingham, MI (4360 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 MI 13547

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 February 27, 2025

Record deactivated on February 27, 2025

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 522 E LINCOLN ST, BIRMINGHAM, MI 480091791 (Tel: 2486446688)

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Updated Business Mailing Address July 08, 2007

Registered at 522 E LINCOLN ST, BIRMINGHAM, MI 480091791 (Tel: 2486446688)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID BASTIANELLI, D.D.S.

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

Dentist (License #13547 in MI)

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Initial NPI Registration & Enumeration January 09, 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: 1023167178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: July 08, 2007
Deactivation Date: February 27, 2025

Mailing Address

522 E Lincoln St

Birmingham, MI 480091791

Phone: 2486446688

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.