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Deactivated NPI 1104845007 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel Collin Orme , DMD

Dentist - General Practice • Waverly, 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. Samuel Orme has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2006
NPI Deactivation Date May 29, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Orme, DMD was a registered Dentist - General Practice practicing in Waverly, NY. Throughout an active medical career spanning 19 years, Dr. Orme provided care at the practice location at 284 STATE ROUTE 17C until profile deactivation on 2025-05-29.

Practice Location & Contact Primary Location

Practice Address

284 State Route 17c

Waverly, NY 148929507

Telephone 6075657811
Fax 6075657165
Associated Practice Facility / Clinic
🏢 Stephen Lynne Mckee Dds, Pllc Facility NPI 1841595022

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waverly, NY

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

Practicing in Waverly, 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 031418

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 May 29, 2025

Record deactivated on May 29, 2025

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 284 STATE ROUTE 17C, WAVERLY, NY 148929507 (Tel: 6075657811)

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Updated Business Mailing Address July 09, 2007

Registered at 284 STATE ROUTE 17C, WAVERLY, NY 148929507 (Tel: 6075657811)

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Provider Name / Credentials Updated July 09, 2007

Recorded as SAMUEL ORME, DMD

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

Dentist (License #031418 in NY)

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Initial NPI Registration & Enumeration July 19, 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: 1104845007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 09, 2007
Deactivation Date: May 29, 2025

Mailing Address

284 State Route 17c

Waverly, NY 148929507

Phone: 6075657811

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.