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Deactivated NPI 1063587467 Deactivated / Inactive NPI Male Practitioner

Dr. David Charles Pull , DDS

Dentist • St Cloud, MN

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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. David Pull has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2006
NPI Deactivation Date January 25, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. David Pull, DDS was a registered Dentist practicing in St Cloud, MN. Throughout an active medical career spanning 15 years, Dr. Pull provided care at the practice location at 400 E ST GERMAIN until profile deactivation on 2021-01-25.

Practice Location & Contact Primary Location

Practice Address

400 E St Germain
Suite 109

St Cloud, MN 563040764

Telephone 3202523225
Fax 3202525077

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in St Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
15 Specialists

Practicing in St Cloud, MN (1863 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 MN 6478

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 January 25, 2021

Record deactivated on January 25, 2021

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 400 E ST GERMAIN, SUITE 109, ST CLOUD, MN 563040764 (Tel: 3202523225)

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Updated Business Mailing Address July 08, 2007

Registered at 400 E ST GERMAIN, SUITE 109, ST CLOUD, MN 563040764 (Tel: 3202523225)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID PULL, DDS

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

Dentist (License #6478 in MN)

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Initial NPI Registration & Enumeration November 21, 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: 1063587467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: July 08, 2007
Deactivation Date: January 25, 2021

Mailing Address

400 E St Germain, Suite 109

St Cloud, MN 563040764

Phone: 3202523225

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.