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Deactivated NPI 1518042365 Deactivated / Inactive NPI Male Practitioner

Dr. Gareth B Danielson , DDS

Dentist - General Practice • Coos Bay, OR

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

Registration / Start Date October 26, 2006
NPI Deactivation Date July 03, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Gareth Danielson, DDS was a registered Dentist - General Practice practicing in Coos Bay, OR. Throughout an active medical career spanning 18 years, Dr. Danielson provided care at the practice location at 650 ANDERSON AVE until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

650 Anderson Ave

Coos Bay, OR 974201672

Telephone 5412673977

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Coos Bay, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Coos Bay, OR (1994 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 OR D6916

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
Dr. David Mussone , DDS

Dentist - General Practice

NPI 1982787438

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 July 03, 2024

Record deactivated on July 03, 2024

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 650 ANDERSON AVE, COOS BAY, OR 974201672 (Tel: 5412673977)

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Updated Business Mailing Address July 08, 2007

Registered at 650 ANDERSON AVE, COOS BAY, OR 974201672 (Tel: 5412673977)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARETH DANIELSON, D.D.S.

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

Dentist (License #D6916 in OR)

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Initial NPI Registration & Enumeration October 26, 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: 1518042365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Deactivation Date: July 03, 2024

Mailing Address

650 Anderson Ave

Coos Bay, OR 974201672

Phone: 5412673977

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.