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Deactivated NPI 1225567308 Deactivated / Inactive NPI Male Practitioner

Dr. Patrick Dominic Didonato , DDS

Dentist • Grand Blanc, 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. Patrick Didonato has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 12, 2017
NPI Deactivation Date August 24, 2023
Total Practice Duration ~6 Years of Practice (2017 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Didonato, DDS was a registered Dentist practicing in Grand Blanc, MI. Throughout an active medical career spanning 6 years, Dr. Didonato provided care at the practice location at 4025 E HILL RD until profile deactivation on 2023-08-24.

Practice Location & Contact Primary Location

Practice Address

4025 E Hill Rd

Grand Blanc, MI 484397942

Telephone 8106954300
Associated Practice Facility / Clinic
🏢 Dentistry Etc Facility NPI 1447405261

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Grand Blanc, MI

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

Practicing in Grand Blanc, 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 2901022322

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Ruchin Mandiwala , DDS

Dentist - General Practice

NPI 1447744016

Doctor of Dental Surgery

NPI 1497370720
NPI 1831250869

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated August 24, 2023

Record deactivated on August 24, 2023

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Updated Business Mailing Address August 01, 2022

Registered at 1795 W STADIUM BLVD, ANN ARBOR, MI 481035290 (Tel: 7346778700)

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Updated Practice Location October 15, 2020

Registered at 1795 W STADIUM, ANN ARBOR, MI 48103 (Tel: 7346623222)

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Updated Business Mailing Address October 15, 2020

Registered at 2900 GOLFSIDE DR STE 6, ANN ARBOR, MI 481081410 (Tel: 7346778700)

NPI Profile Active June 12, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 12, 2017

Registered at 4025 E HILL RD, GRAND BLANC, MI 484397942 (Tel: 8106954300)

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Updated Business Mailing Address June 12, 2017

Registered at 4912 MOTHER TERESA DR, ANN ARBOR, MI 481059772 (Tel: 7348832893)

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Provider Name / Credentials Updated June 12, 2017

Recorded as PATRICK DIDONATO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2017

Dentist (License #2901022322 in MI)

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Initial NPI Registration & Enumeration June 12, 2017

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: 1225567308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2017
Last Update: June 12, 2017
Deactivation Date: August 24, 2023

Mailing Address

4912 Mother Teresa Dr

Ann Arbor, MI 481059772

Phone: 7348832893

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.