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Deactivated NPI 1790994895 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Wayne Bennett , DDS

Dentist - General Practice • Cape Girardeau, 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. Michael Bennett has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2007
NPI Deactivation Date December 03, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Bennett, DDS was a registered Dentist - General Practice practicing in Cape Girardeau, MO. Throughout an active medical career spanning 13 years, Dr. Bennett provided care at the practice location at 1200 N CAPE ROCK DR until profile deactivation on 2020-12-03.

Practice Location & Contact Primary Location

Practice Address

1200 N Cape Rock Dr

Cape Girardeau, MO 63701

Telephone 5733348013
Fax 5733344101
Associated Practice Facility / Clinic
🏢 Michael W Bennett Dds Pc Facility NPI 1033215314

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cape Girardeau, MO

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

Practicing in Cape Girardeau, 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 012361

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

3 Associated Practitioners
NPI 1003114000

Doctor of Dental Surgery

Dr. Ross Bennett , DDS

Dentist - General Practice

NPI 1275742363

Doctor of Dental Surgery

NPI 1699343954

Doctor of Dental Medicine

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 December 03, 2020

Record deactivated on December 03, 2020

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 1200 N CAPE ROCK DR, CAPE GIRARDEAU, MO 63701 (Tel: 5733348013)

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Updated Business Mailing Address July 08, 2007

Registered at 1200 N CAPE ROCK DR, CAPE GIRARDEAU, MO 63701 (Tel: 5733348013)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL BENNETT, DDS

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

Dentist (License #012361 in MO)

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Initial NPI Registration & Enumeration May 22, 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: 1790994895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 08, 2007
Deactivation Date: December 03, 2020

Mailing Address

1200 N Cape Rock Dr

Cape Girardeau, MO 63701

Phone: 5733348013

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.