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Deactivated NPI 1205993896 Deactivated / Inactive NPI Male Practitioner

Dr. Sherman Thomas Mitchell , DDS

Dentist - General Practice • Springfield, 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. Sherman Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 02, 2007
NPI Deactivation Date July 28, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Sherman Mitchell, DDS was a registered Dentist - General Practice practicing in Springfield, MO. Throughout an active medical career spanning 14 years, Dr. Mitchell provided care at the practice location at 1722 S GLENSTONE AVE until profile deactivation on 2021-07-28.

Practice Location & Contact Primary Location

Practice Address

1722 S Glenstone Ave
Suite V

Springfield, MO 658041519

Telephone 4178878400
Fax 4178878478
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MO

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

Practicing in Springfield, 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 012528

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

12 Associated Practitioners
Dr. Darryl Haslam , PhD, LCSW

Marriage & Family Therapist

NPI 1245394683

Doctor of Philosophy (Ph.D.), Licensed Clinical Social Worker

Dr. Ronald Wehner , DDS

Dentist - Pediatric Dentistry

NPI 1306824883

Doctor of Dental Surgery

NPI 1316080641

Licensed Professional Counselor

Dr. Scott Olson , DMD

Dentist - General Practice

NPI 1417140294

Doctor of Dental Medicine

NPI 1457567968

Doctor of Chiropractic

Dr. Michael Gentry , MD

Dermatology - Procedural Dermatology

NPI 1477577633

Doctor of Medicine (M.D.)

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 July 28, 2021

Record deactivated on July 28, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1722 S GLENSTONE AVE, SUITE V, SPRINGFIELD, MO 658041519 (Tel: 4178878400)

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Updated Business Mailing Address July 09, 2007

Registered at 1722 S GLENSTONE AVE, SUITE V, SPRINGFIELD, MO 658041519 (Tel: 4178878400)

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Provider Name / Credentials Updated July 09, 2007

Recorded as SHERMAN MITCHELL, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #012528 in MO)

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Initial NPI Registration & Enumeration January 02, 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: 1205993896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: July 09, 2007
Deactivation Date: July 28, 2021

Mailing Address

1722 S Glenstone Ave, Suite V

Springfield, MO 658041519

Phone: 4178878400

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.