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Deactivated NPI 1992730410 Deactivated / Inactive NPI Male Practitioner

Dr. Hal Phillips Cockerham , DDS

Dentist - General Practice • Winston Salem, 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, Dr. Hal Cockerham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2006
NPI Deactivation Date December 27, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Hal Cockerham, DDS was a registered Dentist - General Practice practicing in Winston Salem, NC. Throughout an active medical career spanning 17 years, Dr. Cockerham provided care at the practice location at 201 CHARLOIS BLVD until profile deactivation on 2023-12-27.

Practice Location & Contact Primary Location

Practice Address

201 Charlois Blvd

Winston Salem, NC 271031507

Telephone 3367181861
Fax 3367181915
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Winston Salem, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
138 Specialists

Practicing in Winston Salem, 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 3339

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. Terrence Reilly , DMD

Dentist - General Practice

NPI 1336246248

Doctor of Dental Medicine

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 December 27, 2023

Record deactivated on December 27, 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 201 CHARLOIS BLVD, WINSTON SALEM, NC 271031507 (Tel: 3367181861)

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Updated Business Mailing Address July 08, 2007

Registered at 135 ROBERT AUSTIN TRL, MOCKSVILLE, NC 270287859 (Tel: 3369403348)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HAL COCKERHAM, D.D.S.

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

Dentist (License #3339 in NC)

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Initial NPI Registration & Enumeration July 12, 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: 1992730410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: July 08, 2007
Deactivation Date: December 27, 2023

Mailing Address

135 Robert Austin Trl

Mocksville, NC 270287859

Phone: 3369403348

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.