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Deactivated NPI 1003596560 Deactivated / Inactive NPI Female Practitioner

Dr. Anne Mao , DDS

Dentist - General Practice • Maspeth, 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. Anne Mao has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2023
NPI Deactivation Date February 22, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Anne Mao, DDS was a registered Dentist - General Practice practicing in Maspeth, NY. Throughout an active medical career spanning 1 years, Dr. Mao provided care at the practice location at 5375 65TH PL until profile deactivation on 2024-02-22.

Practice Location & Contact Primary Location

Practice Address

5375 65th Pl

Maspeth, NY 113781637

Telephone 7184786800

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Maspeth, NY

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

Practicing in Maspeth, 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

CMS Verified: 2025-12-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 064757

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.

Secondary Practice Locations

10505 69th Ave

Forest Hills, NY 113753372

Phone: 7188300209

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1235232760

Doctor of Dental Surgery

Ching Wong

Internal Medicine - Hematology & Oncology

NPI 1821095233

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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Updated Practice Location December 11, 2025

Registered at 5375 65TH PL, MASPETH, NY 113781637 (Tel: 7184786800)

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Updated Business Mailing Address December 11, 2025

Registered at 131 N 5TH ST APT 3R, BROOKLYN, NY 112493515 (Tel: 6466568436)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2025

Dentist (License #064757 in NY)

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Updated Practice Location June 12, 2024

Registered at 1 GUSTAVE L LEVY PL, NEW YORK, NY 10029 (Tel: 2122416500)

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Updated Business Mailing Address June 12, 2024

Registered at 1 GUSTAVE L LEVY PL, NEW YORK, NY 10029 (Tel: 2129989800)

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Provider Name / Credentials Updated June 12, 2024

Recorded as ANNE MAO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2024

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated February 22, 2024

Record deactivated on February 22, 2024

NPI Profile Active July 20, 2023

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2023

Registered at 345 E. 24TH STREET, NEW YORK CITY, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address July 20, 2023

Registered at 345 E. 24TH STREET, NEW YORK CITY, NY 10010 (Tel: 2129989800)

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Provider Name / Credentials Updated July 20, 2023

Recorded as ANNE MAO

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration July 20, 2023

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: 1003596560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2023
Last Update: December 11, 2025
Deactivation Date: February 22, 2024
Sole Proprietor: Yes

Mailing Address

131 N 5th St Apt 3r

Brooklyn, NY 112493515

Phone: 6466568436

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.