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Deactivated NPI 1932234077 Deactivated / Inactive NPI Male Practitioner

Dr. Jay Peter Erickson , DDS

Dentist • Fargo, ND

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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. Jay Erickson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 22, 2007
NPI Deactivation Date October 24, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Erickson, DDS was a registered Dentist practicing in Fargo, ND. Throughout an active medical career spanning 11 years, Dr. Erickson provided care at the practice location at 1331 32 AVE SO until profile deactivation on 2018-10-24.

Practice Location & Contact Primary Location

Practice Address

1331 32 Ave So
Suite #3

Fargo, ND 581035989

Telephone 7012357322
Fax 7012351668
Associated Practice Facility / Clinic
🏢 Austin Vetter, Dds, Llc Facility NPI 1043712888

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Fargo, ND (232 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License ND 1657

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Maria Pablo , DDS

Dentist - General Practice

NPI 1144117086

Doctor of Dental Surgery

Dr. Austin Vetter , DDS

Dentist - General Practice

NPI 1962930073

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 October 24, 2018

Record deactivated on October 24, 2018

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 1331 32 AVE SO, SUITE #3, FARGO, ND 581035989 (Tel: 7012357322)

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Updated Business Mailing Address July 08, 2007

Registered at 1331 32 AVE SO, SUITE #3, FARGO, ND 581035989 (Tel: 7012357322)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAY ERICKSON, DDS

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

Dentist (License #1657 in ND)

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Initial NPI Registration & Enumeration February 22, 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: 1932234077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2007
Last Update: July 08, 2007
Deactivation Date: October 24, 2018

Mailing Address

1331 32 Ave So, Suite #3

Fargo, ND 581035989

Phone: 7012357322

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.