Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1245309293 Deactivated / Inactive NPI Male Practitioner

Dr. Byron W Tullis , DDS

Dentist - General Practice • Lincoln, 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. Byron Tullis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2006
NPI Deactivation Date November 25, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Byron Tullis, DDS was a registered Dentist - General Practice practicing in Lincoln, NE. Throughout an active medical career spanning 14 years, Dr. Tullis provided care at the practice location at 6520 HOLDREGE ST until profile deactivation on 2020-11-25.

Practice Location & Contact Primary Location

Practice Address

6520 Holdrege St

Lincoln, NE 685051655

Telephone 4024641861
Fax 4024641808
Associated Practice Facility / Clinic
🏢 Nbd Lincoln Pc Facility NPI 1629436019

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lincoln, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
146 Specialists

Practicing in Lincoln, NE (832 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 NE 3429

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
Dr. Stephen Tullis , DDS

Dentist - General Practice

NPI 1700955416

Doctor of Dental Surgery

NPI 1801196910

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 November 25, 2020

Record deactivated on November 25, 2020

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 6520 HOLDREGE ST, LINCOLN, NE 685051655 (Tel: 4024641861)

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Updated Business Mailing Address July 08, 2007

Registered at 6520 HOLDREGE ST, LINCOLN, NE 685051655 (Tel: 4024641861)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BYRON TULLIS, DDS

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

Dentist (License #3429 in NE)

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Initial NPI Registration & Enumeration November 06, 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: 1245309293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: July 08, 2007
Deactivation Date: November 25, 2020

Mailing Address

6520 Holdrege St

Lincoln, NE 685051655

Phone: 4024641861

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.