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Deactivated NPI 1578565933 Deactivated / Inactive NPI Male Practitioner

Dr. C. Bernard Fitzner , DDS, MAGD

Dentist - General Practice • Tucumcari, 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. C. Fitzner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2005
NPI Deactivation Date January 08, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. C. Fitzner, DDS, MAGD was a registered Dentist - General Practice practicing in Tucumcari, NM. Throughout an active medical career spanning 21 years, Dr. Fitzner provided care at the practice location at 501 S 2ND ST until profile deactivation on 2026-01-08.

Practice Location & Contact Primary Location

Practice Address

501 S 2nd St

Tucumcari, NM 884012861

Telephone 5054611670
Fax 5054616404
Associated Practice Facility / Clinic
🏢 Pacheco Family Dentistry Llc Facility NPI 1689290983

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tucumcari, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Tucumcari, 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 DD992

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 January 08, 2026

Record deactivated on January 08, 2026

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 501 S 2ND ST, TUCUMCARI, NM 884012861 (Tel: 5054611670)

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Updated Business Mailing Address July 09, 2007

Registered at 501 S 2ND ST, TUCUMCARI, NM 884012861 (Tel: 5054611670)

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Provider Name / Credentials Updated July 09, 2007

Recorded as C. FITZNER, D.D.S., M.A.G.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DD992 in NM)

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Initial NPI Registration & Enumeration August 15, 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: 1578565933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: July 09, 2007
Deactivation Date: January 08, 2026

Mailing Address

501 S 2nd St

Tucumcari, NM 884012861

Phone: 5054611670

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.