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Deactivated NPI 1346249992 Deactivated / Inactive NPI Male Practitioner

Dr. Michael J Mackan , DDS

Dentist - General Practice • Canton, OH

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

Registration / Start Date July 17, 2005
NPI Deactivation Date August 30, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mackan, DDS was a registered Dentist - General Practice practicing in Canton, OH. Throughout an active medical career spanning 18 years, Dr. Mackan provided care at the practice location at 2223 FULTON RD NW until profile deactivation on 2023-08-30.

Practice Location & Contact Primary Location

Practice Address

2223 Fulton Rd Nw

Canton, OH 447093554

Telephone 3304534616
Associated Practice Facility / Clinic
🏢 Timothy A Morris Dds Inc Facility NPI 1669644530

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
72 Specialists

Practicing in Canton, OH (4287 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 OH 30-01-3314

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

4 Associated Practitioners
NPI 1306842653

Doctor of Dental Surgery

Dr. Timothy Morris , DDS

Dentist - General Practice

NPI 1437258597

Doctor of Dental Surgery

NPI 1609948298

Doctor of Dental Surgery

Dr. Carl Peshoff , DDS

Dentist - Periodontics

NPI 1942395918

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 August 30, 2023

Record deactivated on August 30, 2023

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 2223 FULTON RD NW, CANTON, OH 447093554 (Tel: 3304534616)

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Updated Business Mailing Address July 09, 2007

Registered at 6595 HOGAN WAY NW, CANTON, OH 447184214

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Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL MACKAN, DDS

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

Dentist (License #30-01-3314 in OH)

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Initial NPI Registration & Enumeration July 17, 2005

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: 1346249992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2005
Last Update: July 09, 2007
Deactivation Date: August 30, 2023

Mailing Address

6595 Hogan Way Nw

Canton, OH 447184214

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.