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Deactivated NPI 1184829228 Deactivated / Inactive NPI Male Practitioner

Baxter Boone Sapp

Dentist - General Practice • Durham, NC

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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, Baxter Sapp has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 19, 2007
NPI Deactivation Date November 11, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Baxter Sapp was a registered Dentist - General Practice practicing in Durham, NC. Throughout an active medical career spanning 16 years, Baxter Sapp provided care at the practice location at 3612 SHANNON RD until profile deactivation on 2023-11-11.

Practice Location & Contact Primary Location

Practice Address

3612 Shannon Rd
Suite 205

Durham, NC 277076329

Telephone 9194899171
Fax 9194931088
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Durham, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
142 Specialists

Practicing in Durham, NC (4047 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 NC 2106

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Hal Thomas Sapp , DDS

Dentist - General Practice

NPI 1811099476

Doctor of Dental Surgery

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 November 11, 2023

Record deactivated on November 11, 2023

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 3612 SHANNON RD, SUITE 205, DURHAM, NC 277076329 (Tel: 9194899171)

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Updated Business Mailing Address July 08, 2007

Registered at 3612 SHANNON RD, SUITE 205, DURHAM, NC 277076329 (Tel: 9194899171)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BAXTER SAPP

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

Dentist (License #2106 in NC)

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Initial NPI Registration & Enumeration June 19, 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: 1184829228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2007
Last Update: July 08, 2007
Deactivation Date: November 11, 2023

Mailing Address

3612 Shannon Rd, Suite 205

Durham, NC 277076329

Phone: 9194899171

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.