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Deactivated NPI 1720142334 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Norman Zidko , DDS

Dentist - General Practice • Spencer, 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. Charles Zidko has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 20, 2006
NPI Deactivation Date June 17, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Zidko, DDS was a registered Dentist - General Practice practicing in Spencer, NE. Throughout an active medical career spanning 13 years, Dr. Zidko provided care at the practice location at 104 N THAYER ST until profile deactivation on 2019-06-17.

Practice Location & Contact Primary Location

Practice Address

104 N Thayer St

Spencer, NE 687770219

Telephone 4025891303
Fax 4025891163
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spencer, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Spencer, 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 3740

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.

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 June 17, 2019

Record deactivated on June 17, 2019

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 104 N THAYER ST, SPENCER, NE 687770219 (Tel: 4025891303)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 219, 104 NORTH THAYER ST, SPENCER, NE 687770219 (Tel: 4025891303)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES ZIDKO, DDS

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

Dentist (License #3740 in NE)

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Initial NPI Registration & Enumeration December 20, 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: 1720142334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2006
Last Update: July 08, 2007
Deactivation Date: June 17, 2019

Mailing Address

Po Box 219, 104 North Thayer St

Spencer, NE 687770219

Phone: 4025891303

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.