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Deactivated NPI 1407129778 Deactivated / Inactive NPI Male Practitioner

Dr. Paul John Spada , DDS

Dentist • Fresh Meadows, 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. Paul Spada has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 17, 2012
NPI Deactivation Date July 30, 2026
Total Practice Duration ~14 Years of Practice (2012 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Spada, DDS was a registered Dentist practicing in Fresh Meadows, NY. Throughout an active medical career spanning 14 years, Dr. Spada provided care at the practice location at 5803 UTOPIA PKWY until profile deactivation on 2026-07-30.

Practice Location & Contact Primary Location

Practice Address

5803 Utopia Pkwy

Fresh Meadows, NY 11365

Telephone 5165514079
Fax 2152970142

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fresh Meadows, NY

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

Practicing in Fresh Meadows, 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 NY 022966

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 July 30, 2026

Record deactivated on July 30, 2026

NPI Profile Active February 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 17, 2012

Registered at 5803 UTOPIA PKWY, FRESH MEADOWS, NY 11365 (Tel: 5165514079)

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Updated Business Mailing Address February 17, 2012

Registered at 5803 UTOPIA PKWY, FRESH MEADOWS, NY 11365 (Tel: 5165514079)

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Provider Name / Credentials Updated February 17, 2012

Recorded as PAUL SPADA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2012

Dentist (License #022966 in NY)

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Initial NPI Registration & Enumeration February 17, 2012

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: 1407129778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2012
Last Update: February 17, 2012
Deactivation Date: July 30, 2026

Mailing Address

5803 Utopia Pkwy

Fresh Meadows, NY 11365

Phone: 5165514079

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.