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Deactivated NPI 1093984593 Deactivated / Inactive NPI Male Practitioner

Dr. Michael L. Edgar , DDS

Dentist - General Practice • Park Hills, 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 Edgar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2008
NPI Deactivation Date August 01, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Edgar, DDS was a registered Dentist - General Practice practicing in Park Hills, MO. Throughout an active medical career spanning 10 years, Dr. Edgar provided care at the practice location at 919 E MAIN ST until profile deactivation on 2018-08-01.

Practice Location & Contact Primary Location

Practice Address

919 E Main St

Park Hills, MO 636012717

Telephone 5734315566
Associated Practice Facility / Clinic
🏢 Michael L Edgar Dds Pc Facility NPI 1013073618

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Park Hills, MO

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

Practicing in Park Hills, 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 14114

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

2 Associated Practitioners
NPI 1629104153

Doctor of Chiropractic

NPI 1922877810

Doctor of Chiropractic

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 August 01, 2018

Record deactivated on August 01, 2018

NPI Profile Active February 28, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 28, 2008

Registered at 919 E MAIN ST, PARK HILLS, MO 636012717 (Tel: 5734315566)

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Updated Business Mailing Address February 28, 2008

Registered at 919 E MAIN ST, PARK HILLS, MO 636012717 (Tel: 5734315566)

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Provider Name / Credentials Updated February 28, 2008

Recorded as MICHAEL EDGAR, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2008

Dentist (License #14114 in MO)

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Initial NPI Registration & Enumeration February 28, 2008

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: 1093984593
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2008
Last Update: February 28, 2008
Deactivation Date: August 01, 2018

Mailing Address

919 E Main St

Park Hills, MO 636012717

Phone: 5734315566

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.