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Deactivated NPI 1457479214 Deactivated / Inactive NPI Male Practitioner

Dr. Dennis Destefano , DDS

Dentist - General Practice • Hancock, 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. Dennis Destefano has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 27, 2007
NPI Deactivation Date August 31, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Dennis Destefano, DDS was a registered Dentist - General Practice practicing in Hancock, NY. Throughout an active medical career spanning 14 years, Dr. Destefano provided care at the practice location at 24651 STATE HWY 97 until profile deactivation on 2021-08-31.

Practice Location & Contact Primary Location

Practice Address

24651 State Hwy 97

Hancock, NY 137832233

Telephone 6076375007
Fax 6076375008

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hancock, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Hancock, NY (8411 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 NY 032192

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

12 Historical Events
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NPI Profile Deactivated August 31, 2021

Record deactivated on August 31, 2021

NPI Profile Active January 17, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 17, 2017

Registered at 24651 STATE HWY 97, HANCOCK, NY 137832233 (Tel: 6076375007)

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Updated Business Mailing Address January 17, 2017

Registered at 24651 STATE HWY 97, HANCOCK, NY 137832233 (Tel: 6076375007)

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Provider Name / Credentials Updated January 17, 2017

Recorded as DENNIS DESTEFANO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

Dentist (License #032192 in NY)

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 24651 STATE HWY 97, HANCOCK, NY 137832233 (Tel: 6076375007)

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Updated Business Mailing Address July 08, 2007

Registered at 24651 STATE HWY 97, HANCOCK, NY 137832233 (Tel: 6076375007)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DENNIS DESTEFANO, DDS

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

Dentist (License #032192 in NY)

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Initial NPI Registration & Enumeration March 27, 2007

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: 1457479214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: July 08, 2007
Deactivation Date: August 31, 2021

Mailing Address

24651 State Hwy 97

Hancock, NY 137832233

Phone: 6076375007

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.