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Deactivated NPI 1972505568 Deactivated / Inactive NPI Male Practitioner

Gary P Mares

Dentist - General Practice • Albuquerque, NM

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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, Gary Mares has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2005
NPI Deactivation Date August 31, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Gary Mares was a registered Dentist - General Practice practicing in Albuquerque, NM. Throughout an active medical career spanning 17 years, Gary Mares provided care at the practice location at 6101 CANDELARIA RD NE until profile deactivation on 2022-08-31.

Practice Location & Contact Primary Location

Practice Address

6101 Candelaria Rd Ne

Albuquerque, NM 871102500

Telephone 5058830005
Fax 5058814487
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
306 Specialists

Practicing in Albuquerque, NM (761 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 NM DD1417

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

3 Associated Practitioners
Dr. Asli Kiran , DDS

Dentist - General Practice

NPI 1164423984

Doctor of Dental Surgery

Dr. Neesha Bir , DDS

Dentist - General Practice

NPI 1548707128

Doctor of Dental Surgery

NPI 1700040888

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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NPI Profile Deactivated August 31, 2022

Record deactivated on August 31, 2022

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 6101 CANDELARIA RD NE, ALBUQUERQUE, NM 871102500 (Tel: 5058830005)

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Updated Business Mailing Address July 08, 2007

Registered at 6101 CANDELARIA RD NE, ALBUQUERQUE, NM 871102500 (Tel: 5058830005)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY MARES

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

Dentist (License #DD1417 in NM)

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Initial NPI Registration & Enumeration August 12, 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: 1972505568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2005
Last Update: July 08, 2007
Deactivation Date: August 31, 2022

Mailing Address

6101 Candelaria Rd Ne

Albuquerque, NM 871102500

Phone: 5058830005

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.