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Deactivated NPI 1396156071 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Squires , DDS

Dentist - General Practice • Columbia, 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. Richard Squires has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2014
NPI Deactivation Date January 17, 2024
Total Practice Duration ~10 Years of Practice (2014 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Squires, DDS was a registered Dentist - General Practice practicing in Columbia, MO. Throughout an active medical career spanning 10 years, Dr. Squires provided care at the practice location at 2901 W BROADWAY until profile deactivation on 2024-01-17.

Practice Location & Contact Primary Location

Practice Address

2901 W Broadway
Ste 109

Columbia, MO 652030499

Telephone 5734455811
Fax 5734455819
Associated Practice Facility / Clinic
🏢 Eyemart Express Ltd Facility NPI 1831242312

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
69 Specialists

Practicing in Columbia, 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 011774

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
NPI 1851773055

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 January 17, 2024

Record deactivated on January 17, 2024

NPI Profile Active May 15, 2014

NPI status registered as active in NPPES database

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Updated Practice Location May 15, 2014

Registered at 2901 W BROADWAY, STE 109, COLUMBIA, MO 652030499 (Tel: 5734455811)

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Updated Business Mailing Address May 15, 2014

Registered at 2901 WEST BROADWAY, STE 109, COLUMBIA, MO 65203 (Tel: 5734455811)

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Provider Name / Credentials Updated May 15, 2014

Recorded as RICHARD SQUIRES, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2014

Dentist (License #011774 in MO)

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Initial NPI Registration & Enumeration May 15, 2014

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: 1396156071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2014
Last Update: May 15, 2014
Deactivation Date: January 17, 2024

Mailing Address

2901 West Broadway, Ste 109

Columbia, MO 65203

Phone: 5734455811

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.