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Deactivated NPI 1720073372 Deactivated / Inactive NPI Male Practitioner

Dr. Walter Allan Gang , DDS

Dentist - General Practice • Andover, NJ

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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. Walter Gang has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Gang, DDS was a registered Dentist - General Practice practicing in Andover, NJ. Throughout an active medical career spanning 1 years, Dr. Gang provided care at the practice location at 8 LENAPE RD until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

8 Lenape Rd

Andover, NJ 078214568

Telephone 9737865588
Fax 9737867820
Associated Practice Facility / Clinic
🏢 Todd Massey Dc Llc Facility NPI 1114009925

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Andover, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Andover, NJ (4316 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 NJ 9046

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

1 Associated Practitioners
Dr. Herman Gang , DDS

Dentist - General Practice

NPI 1821083981

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 8 LENAPE RD, ANDOVER, NJ 078214568 (Tel: 9737865588)

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Updated Business Mailing Address July 08, 2007

Registered at 227 GREENDELL RD, NEWTON, NJ 078605537 (Tel: 9088523011)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WALTER GANG, DDS

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

Dentist (License #9046 in NJ)

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NPI Profile Reactivated March 29, 2006

Record officially reactivated for active practice on March 29, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 20, 2005

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: 1720073372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2005
Last Update: July 13, 2026
Deactivation Date: March 23, 2006
Sole Proprietor: No

Mailing Address

227 Greendell Rd

Newton, NJ 078605537

Phone: 9088523011

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.