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Deactivated NPI 1033146519 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Patrick Reardon , DDS

Dentist • Apo Ae, NY

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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. Daniel Reardon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2006
NPI Deactivation Date February 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Reardon, DDS was a registered Dentist practicing in Apo Ae, NY. Throughout an active medical career spanning 14 years, Dr. Reardon provided care at the practice location at CMR 442 until profile deactivation on 2020-02-17.

Practice Location & Contact Primary Location

Practice Address

Cmr 442
Heidelberg Dental Activity Credientials Office

Apo Ae, NY 09042

Telephone 6221172288

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Apo Ae, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Apo Ae, NY (6355 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 DC DEN3624

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. John Tsunehiro , DDS

Dentist - General Practice

NPI 1104883719

Doctor of Dental Surgery

Dr. Paul Heese , DMD

Dentist - General Practice

NPI 1215988068

Doctor of Dental Medicine

Dr. Thomas Spears , DMD

Dentist - General Practice

NPI 1417904772

Doctor of Dental Medicine

Dr. Robert Anson , DDS

Dentist - Pediatric Dentistry

NPI 1417905605

Doctor of Dental Surgery

Dr. Olaf Lukowski , DDS

Dentist - General Practice

NPI 1801853841

Doctor of Dental Surgery

Nancy Seymour

Dental Hygienist

NPI 1831287101

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 17, 2020

Record deactivated on February 17, 2020

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 CMR 442, HEIDELBERG DENTAL ACTIVITY CREDIENTIALS OFFICE, APO AE, NY 09042 (Tel: 6221172288)

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Updated Business Mailing Address July 08, 2007

Registered at CMR 442, HEIDELBERG DENTAL ACTIVITY CREDENTIALS OFFICE, APOAE, NY 090422452 (Tel: 6221172288)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL REARDON, D.D.S.

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

Dentist (License #DEN3624 in DC)

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Initial NPI Registration & Enumeration June 28, 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: 1033146519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: July 08, 2007
Deactivation Date: February 17, 2020

Mailing Address

Cmr 442, Heidelberg Dental Activity Credentials Office

Apoae, NY 090422452

Phone: 6221172288

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.