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Deactivated NPI 1972607075 Deactivated / Inactive NPI Male Practitioner

Dr. Charles David Mcallister , DMD

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

Registration / Start Date September 11, 2006
NPI Deactivation Date February 24, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Mcallister, DMD was a registered Dentist - General Practice practicing in Broken Arrow, OK. Throughout an active medical career spanning 14 years, Dr. Mcallister provided care at the practice location at 3100 SO ELM PL until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

3100 So Elm Pl
Suite D

Broken Arrow, OK 74012

Telephone 9184559444
Fax 9184513613
Associated Practice Facility / Clinic
🏢 David Mcallister,d.m.d.,inc. Facility NPI 1851579163

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 23401

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.

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 February 24, 2020

Record deactivated on February 24, 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 3100 SO ELM PL, SUITE D, BROKEN ARROW, OK 74012 (Tel: 9184559444)

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Updated Business Mailing Address July 08, 2007

Registered at 3100 SO ELM PL, SUITE D, BROKEN ARROW, OK 74012 (Tel: 9184559444)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES MCALLISTER, DMD

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

Dentist (License #23401 in OK)

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Initial NPI Registration & Enumeration September 11, 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: 1972607075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2006
Last Update: July 08, 2007
Deactivation Date: February 24, 2020

Mailing Address

3100 So Elm Pl, Suite D

Broken Arrow, OK 74012

Phone: 9184559444

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.