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Deactivated NPI 1174643977 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald J Deters , DDS

Dentist - General Practice • Grand Rapids, 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. Gerald Deters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 29, 2007
NPI Deactivation Date March 01, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Deters, DDS was a registered Dentist - General Practice practicing in Grand Rapids, MI. Throughout an active medical career spanning 16 years, Dr. Deters provided care at the practice location at 680 THREE MILE RD NW until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

680 Three Mile Rd Nw

Grand Rapids, MI 495448218

Telephone 6167854790
Fax 6167854791

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
174 Specialists

Practicing in Grand Rapids, 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 10931

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 March 01, 2023

Record deactivated on March 01, 2023

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 680 THREE MILE RD NW, GRAND RAPIDS, MI 495448218 (Tel: 6167854790)

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Updated Business Mailing Address July 08, 2007

Registered at 680 THREE MILE RD NW, GRAND RAPIDS, MI 495448218 (Tel: 6167854790)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD DETERS, DDS

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

Dentist (License #10931 in MI)

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Initial NPI Registration & Enumeration March 29, 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: 1174643977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2007
Last Update: July 08, 2007
Deactivation Date: March 01, 2023

Mailing Address

680 Three Mile Rd Nw

Grand Rapids, MI 495448218

Phone: 6167854790

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.