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Deactivated NPI 1780720706 Deactivated / Inactive NPI Male Practitioner

Dr. B Clifton Whitworth , DDS

Dentist - General Practice • Saint Louis, 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. B Whitworth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 29, 2007
NPI Deactivation Date February 12, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. B Whitworth, DDS was a registered Dentist - General Practice practicing in Saint Louis, MO. Throughout an active medical career spanning 14 years, Dr. Whitworth provided care at the practice location at 1717 BIDDLE ST until profile deactivation on 2021-02-12.

Practice Location & Contact Primary Location

Practice Address

1717 Biddle St

Saint Louis, MO 631063454

Telephone 3148148531
Fax 3148148542
Associated Practice Facility / Clinic
🏢 Affinia Healthcare Facility NPI 1093731945

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Louis, MO

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

Practicing in Saint Louis, 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 014087

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

40 Associated Practitioners
NPI 1013319219

Registered Pharmacist

Mary Peterson , LCSW

Social Worker - Clinical

NPI 1023263563

Licensed Clinical Social Worker

NPI 1033219712

Doctor of Dental Medicine

Maria Del Rosario Bobadilla , LSCW

Marriage & Family Therapist

NPI 1033355847
Dr. Vani Pachalla , MD

Family Medicine

NPI 1063418382

Doctor of Medicine (M.D.)

Dr. Frances White , DMD

Dentist - General Practice

NPI 1083750160

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 February 12, 2021

Record deactivated on February 12, 2021

NPI Profile Active July 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2016

Registered at 1717 BIDDLE ST, SAINT LOUIS, MO 631063454 (Tel: 3148148531)

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Updated Business Mailing Address July 22, 2016

Registered at 1717 BIDDLE ST, SAINT LOUIS, MO 631063454 (Tel: 3148148531)

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Provider Name / Credentials Updated July 22, 2016

Recorded as B WHITWORTH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2016

Dentist (License #014087 in MO)

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Initial NPI Registration & Enumeration January 29, 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: 1780720706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: July 22, 2016
Deactivation Date: February 12, 2021

Mailing Address

1717 Biddle St

Saint Louis, MO 631063454

Phone: 3148148531

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.