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Deactivated NPI 1417134495 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas J. Nivison , DDS

Dentist • Flint, 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. Thomas Nivison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2008
NPI Deactivation Date October 08, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Nivison, DDS was a registered Dentist practicing in Flint, MI. Throughout an active medical career spanning 10 years, Dr. Nivison provided care at the practice location at 3710 DAVISON RD. until profile deactivation on 2018-10-08.

Practice Location & Contact Primary Location

Practice Address

3710 Davison Rd.

Flint, MI 48506

Telephone 8107426600
Fax 8107425075
Associated Practice Facility / Clinic
🏢 Advance Dental Care, P.c. Facility NPI 1043480254

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
66 Specialists

Practicing in Flint, MI (3647 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI D14588

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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 October 08, 2018

Record deactivated on October 08, 2018

NPI Profile Active January 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2008

Registered at 3710 DAVISON RD., FLINT, MI 48506 (Tel: 8107426600)

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Updated Business Mailing Address January 22, 2008

Registered at P.O. BOX 90539, BURTON, MI 485090539 (Tel: 8107426600)

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Provider Name / Credentials Updated January 22, 2008

Recorded as THOMAS NIVISON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2008

Dentist (License #D14588 in MI)

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Initial NPI Registration & Enumeration January 22, 2008

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: 1417134495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2008
Last Update: January 22, 2008
Deactivation Date: October 08, 2018

Mailing Address

P.o. Box 90539

Burton, MI 485090539

Phone: 8107426600

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.