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Deactivated NPI 1114101920 Deactivated / Inactive NPI Male Practitioner

Dr. Wallace L. Van Alstine , DDS

Dentist - General Practice • Ypsilanti, 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. Wallace Van Alstine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2007
NPI Deactivation Date July 31, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Wallace Van Alstine, DDS was a registered Dentist - General Practice practicing in Ypsilanti, MI. Throughout an active medical career spanning 17 years, Dr. Van Alstine provided care at the practice location at 1900 PACKARD RD until profile deactivation on 2024-07-31.

Practice Location & Contact Primary Location

Practice Address

1900 Packard Rd

Ypsilanti, MI 481971851

Telephone 7344828500
Fax 7344825044

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ypsilanti, MI

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

Practicing in Ypsilanti, 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 9280

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

1 Associated Practitioners
Dr. Nancy Van Alstine , DDS

Dentist - General Practice

NPI 1578772638

Doctor of Dental Surgery

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 July 31, 2024

Record deactivated on July 31, 2024

NPI Profile Active December 28, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2007

Registered at 1900 PACKARD RD, YPSILANTI, MI 481971851 (Tel: 7344828500)

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Updated Business Mailing Address December 28, 2007

Registered at 1900 PACKARD RD, YPSILANTI, MI 481971851 (Tel: 7344828500)

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Provider Name / Credentials Updated December 28, 2007

Recorded as WALLACE VAN ALSTINE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2007

Dentist (License #9280 in MI)

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Initial NPI Registration & Enumeration December 28, 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: 1114101920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2007
Last Update: December 28, 2007
Deactivation Date: July 31, 2024

Mailing Address

1900 Packard Rd

Ypsilanti, MI 481971851

Phone: 7344828500

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.