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Deactivated NPI 1528247343 Deactivated / Inactive NPI Male Practitioner

Dr. Dewey G Ballew , DDS DENTIST

Dentist - General Practice • Broken Arrow, OK

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

Registration / Start Date October 29, 2007
NPI Deactivation Date September 20, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Dewey Ballew, DDS DENTIST was a registered Dentist - General Practice practicing in Broken Arrow, OK. Throughout an active medical career spanning 11 years, Dr. Ballew provided care at the practice location at 421 N MAIN ST until profile deactivation on 2018-09-20.

Practice Location & Contact Primary Location

Practice Address

421 N Main St

Broken Arrow, OK 74012

Telephone 9182514360
Fax 9182581710

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
39 Specialists

Practicing in Broken Arrow, OK (1496 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 OK 2958

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
NPI 1518590355

DIPLOM

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 September 20, 2018

Record deactivated on September 20, 2018

NPI Profile Active October 29, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2007

Registered at 421 N MAIN ST, BROKEN ARROW, OK 74012 (Tel: 9182514360)

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Updated Business Mailing Address October 29, 2007

Registered at 421 N MAIN ST, BROKEN ARROW, OK 74012 (Tel: 9182514360)

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Provider Name / Credentials Updated October 29, 2007

Recorded as DEWEY BALLEW, DDS DENTIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2007

Dentist (License #2958 in OK)

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Initial NPI Registration & Enumeration October 29, 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: 1528247343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2007
Last Update: October 29, 2007
Deactivation Date: September 20, 2018

Mailing Address

421 N Main St

Broken Arrow, OK 74012

Phone: 9182514360

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.