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Deactivated NPI 1750352936 Deactivated / Inactive NPI Male Practitioner

Dr. Stuart L. Davidson , DDS

Dentist - General Practice • Warren, 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. Stuart Davidson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 27, 2006
NPI Deactivation Date June 19, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Stuart Davidson, DDS was a registered Dentist - General Practice practicing in Warren, MI. Throughout an active medical career spanning 12 years, Dr. Davidson provided care at the practice location at 11270 E 13 MILE RD until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

11270 E 13 Mile Rd
Suite 3-A

Warren, MI 480932599

Telephone 5865730030
Associated Practice Facility / Clinic
🏢 Stuart L Davidson D D S P C Facility NPI 1568638609

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Warren, MI

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

Practicing in Warren, 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 2901007390

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

9 Associated Practitioners
Dr. Gregory Apsey , DDS

Dentist - General Practice

NPI 1023154101

Doctor of Dental Surgery

Amena Miah , LLMSW

Social Worker - Clinical

NPI 1053153890

Limited Licensed Master Social Worker

Hannah Van Allen , NP

Nurse Practitioner - Family

NPI 1154793750

Nurse Practitioner

Paige Lewen , LMSW

Social Worker - Clinical

NPI 1265882724

Licensed Master Social Worker

Salvatore Russo , LPC

Counselor - Professional

NPI 1518318153

Licensed Professional Counselor

Shena Riddle , LMSW

Social Worker - Clinical

NPI 1518490564

Licensed Master Social Worker

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 June 19, 2018

Record deactivated on June 19, 2018

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 11270 E 13 MILE RD, SUITE 3-A, WARREN, MI 480932599 (Tel: 5865730030)

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Updated Business Mailing Address July 08, 2007

Registered at 11270 E 13 MILE RD, SUITE 3-A, WARREN, MI 480932599 (Tel: 5865730030)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STUART DAVIDSON, D.D.S.

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

Dentist (License #2901007390 in MI)

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Initial NPI Registration & Enumeration January 27, 2006

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: 1750352936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

11270 E 13 Mile Rd, Suite 3-A

Warren, MI 480932599

Phone: 5865730030

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.