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Deactivated NPI 1902474489 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Gafencu , DDS

Dentist - General Practice • Branson, MO

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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. Samuel Gafencu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 11, 2021
NPI Deactivation Date August 28, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Gafencu, DDS was a registered Dentist - General Practice practicing in Branson, MO. Throughout an active medical career spanning 4 years, Dr. Gafencu provided care at the practice location at 515 BEE CREEK RD until profile deactivation on 2025-08-28.

Practice Location & Contact Primary Location

Practice Address

515 Bee Creek Rd

Branson, MO 656167734

Telephone 7346041390
Associated Practice Facility / Clinic
🏢 Richard D. Tallon, Dds, Pc Facility NPI 1154511004

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Branson, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Branson, MO (2113 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 MO 2021021146

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

6 Associated Practitioners
NPI 1275593618

Doctor of Dental Medicine

Richard Tallon

Dentist - General Practice

NPI 1356314769
Dr. Joshua Gardner , DMD

Dentist - General Practice

NPI 1477128056

Doctor of Dental Medicine

Dr. Arielle Ramsey , DMD

Dentist - General Practice

NPI 1720438930

Doctor of Dental Medicine

Dr. Suzanne Quigg , DDS

Dentist - General Practice

NPI 1730159773

Doctor of Dental Surgery

Dr. Jacob Ramsey , DMD

Dentist - General Practice

NPI 1891223525

Doctor of Dental Medicine

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

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Updated Practice Location March 30, 2023

Registered at 10435 ORTONVILLE RD STE B, CLARKSTON, MI 483481979 (Tel: 2486255222)

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Updated Business Mailing Address March 30, 2023

Registered at 10435 ORTONVILLE RD STE B, CLARKSTON, MI 483481979 (Tel: 2486255222)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2023

Dentist (License #2901601576 in MI)

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Updated Practice Location March 30, 2022

Registered at 3550 S CAMPBELL AVE, SPRINGFIELD, MO 65807 (Tel: 4178874021)

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Updated Business Mailing Address March 30, 2022

Registered at 3550 S CAMPBELL AVE, SPRINGFIELD, MO 65807 (Tel: 4178874021)

NPI Profile Active June 11, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2021

Registered at 515 BEE CREEK RD, BRANSON, MO 656167734 (Tel: 7346041390)

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Updated Business Mailing Address June 11, 2021

Registered at 778 E OZARK JUBILEE DR, NIXA, MO 657148739 (Tel: 7346041390)

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Provider Name / Credentials Updated June 11, 2021

Recorded as SAMUEL GAFENCU, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2021

Dentist (License #2021021146 in MO)

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Initial NPI Registration & Enumeration June 11, 2021

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: 1902474489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2021
Last Update: June 11, 2021
Deactivation Date: August 28, 2025

Mailing Address

778 E Ozark Jubilee Dr

Nixa, MO 657148739

Phone: 7346041390

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.