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Deactivated NPI 1962410936 Deactivated / Inactive NPI Male Practitioner

Dr. Roger W Martenson , DDS

Dentist • Gallup, 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, Dr. Roger Martenson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2006
NPI Deactivation Date February 08, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Martenson, DDS was a registered Dentist practicing in Gallup, NM. Throughout an active medical career spanning 11 years, Dr. Martenson provided care at the practice location at 1616 E HIGHWAY 66 until profile deactivation on 2017-02-08.

Practice Location & Contact Primary Location

Practice Address

1616 E Highway 66
Suite 18

Gallup, NM 873014933

Telephone 5057223871
Fax 5058633778

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
19 Specialists

Practicing in Gallup, NM (630 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 NM 1015

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.

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 February 08, 2017

Record deactivated on February 08, 2017

NPI Profile Active May 05, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2008

Registered at 1616 E HIGHWAY 66, SUITE 18, GALLUP, NM 873014933 (Tel: 5057223871)

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Updated Business Mailing Address May 05, 2008

Registered at 1616 E HIGHWAY 66, SUITE 18, GALLUP, NM 873014933 (Tel: 5057223871)

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Provider Name / Credentials Updated May 05, 2008

Recorded as ROGER MARTENSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2008

Dentist (License #1015 in NM)

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Initial NPI Registration & Enumeration August 04, 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: 1962410936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: May 05, 2008
Deactivation Date: February 08, 2017

Mailing Address

1616 E Highway 66, Suite 18

Gallup, NM 873014933

Phone: 5057223871

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.