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Deactivated NPI 1023170628 Deactivated / Inactive NPI Male Practitioner

Dr. Paul Edward Bacino , DDS

Dentist • Bennington, NE

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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. Paul Bacino has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 14, 2006
NPI Deactivation Date August 10, 2012
Total Practice Duration ~6 Years of Practice (2006 – 2012)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Bacino, DDS was a registered Dentist practicing in Bennington, NE. Throughout an active medical career spanning 6 years, Dr. Bacino provided care at the practice location at 132 SOUTH STARK ST until profile deactivation on 2012-08-10.

Practice Location & Contact Primary Location

Practice Address

132 South Stark St

Bennington, NE 680070166

Telephone 4022382434
Fax 4022383230
Associated Practice Facility / Clinic
🏢 Paul E Bacino Dds Pc Facility NPI 1144431776

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bennington, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Bennington, NE (693 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NE 4986

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Stacia Howell

Dentist - General Practice

NPI 1528779360

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 Reactivated March 13, 2013

Record officially reactivated for active practice on March 13, 2013

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Updated Practice Location March 13, 2013

Registered at 132 SOUTH STARK ST, BENNINGTON, NE 680070166 (Tel: 4022382434)

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Updated Business Mailing Address March 13, 2013

Registered at PO BOX 166, BENNINGTON, NE 680070166

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Provider Name / Credentials Updated March 13, 2013

Recorded as PAUL BACINO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2013

Dentist (License #4986 in NE)

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NPI Profile Deactivated August 10, 2012

Record deactivated on August 10, 2012

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Initial NPI Registration & Enumeration December 14, 2006

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: 1023170628
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 14, 2006
Last Update: March 13, 2013
Deactivation Date: August 10, 2012
Sole Proprietor: No

Mailing Address

Po Box 166

Bennington, NE 680070166

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.