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Deactivated NPI 1922139302 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Lyman O'brien , DDS

Dentist - General Practice • Williston, 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. Michael O'brien has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2007
NPI Deactivation Date May 26, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael O'Brien, DDS was a registered Dentist - General Practice practicing in Williston, ND. Throughout an active medical career spanning 13 years, Dr. O'Brien provided care at the practice location at 708 MAIN ST until profile deactivation on 2020-05-26.

Practice Location & Contact Primary Location

Practice Address

708 Main St

Williston, ND 588015320

Telephone 7017741879
Fax 7017740610
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Williston, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Williston, ND (294 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 ND 1991

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

3 Associated Practitioners
Dr. Edward Maisey , DDS

Dentist - General Practice

NPI 1306572896

Doctor of Dental Surgery

NPI 1578602967

Doctor of Dental Surgery

NPI 1871632273

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 May 26, 2020

Record deactivated on May 26, 2020

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 708 MAIN ST, WILLISTON, ND 588015320 (Tel: 7017741879)

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Updated Business Mailing Address July 08, 2007

Registered at 708 MAIN ST, WILLISTON, ND 588015320 (Tel: 7017741879)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL O'BRIEN, D.D.S

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

Dentist (License #1991 in ND)

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Initial NPI Registration & Enumeration March 08, 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: 1922139302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2007
Last Update: July 08, 2007
Deactivation Date: May 26, 2020

Mailing Address

708 Main St

Williston, ND 588015320

Phone: 7017741879

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.