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Deactivated NPI 1063540474 Deactivated / Inactive NPI Male Practitioner

Lee Wiser

Denturist • Bozeman, MT

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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, Lee Wiser has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2007
NPI Deactivation Date January 10, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Lee Wiser was a registered Denturist practicing in Bozeman, MT. Throughout an active medical career spanning 17 years, Lee Wiser provided care at the practice location at 910 N 7TH AVE until profile deactivation on 2024-01-10.

Practice Location & Contact Primary Location

Practice Address

910 N 7th Ave

Bozeman, MT 597152500

Telephone 4065229780
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Bozeman, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Bozeman, MT (32 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

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License MT 1

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1154932887
Jo Kish , RPH

Pharmacist

NPI 1265733919

Registered Pharmacist

Kelly Diehl

Pharmacist

NPI 1346747813
NPI 1538610472

Doctor of Pharmacy (Pharm.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 January 10, 2024

Record deactivated on January 10, 2024

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 910 N 7TH AVE, BOZEMAN, MT 597152500 (Tel: 4065229780)

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Updated Business Mailing Address July 08, 2007

Registered at 316 N 23RD AVE, BOZEMAN, MT 597183100

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Provider Name / Credentials Updated July 08, 2007

Recorded as LEE WISER

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

Denturist (License #1 in MT)

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Initial NPI Registration & Enumeration February 28, 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: 1063540474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: July 08, 2007
Deactivation Date: January 10, 2024

Mailing Address

316 N 23rd Ave

Bozeman, MT 597183100

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.