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Deactivated NPI 1821018565 Deactivated / Inactive NPI Male Practitioner

Dr. Alan Clements Kolb , DMD

Dentist - General Practice • Dallas, 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. Alan Kolb has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2006
NPI Deactivation Date March 08, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Alan Kolb, DMD was a registered Dentist - General Practice practicing in Dallas, OR. Throughout an active medical career spanning 17 years, Dr. Kolb provided care at the practice location at 155 W ELLENDALE AVE until profile deactivation on 2023-03-08.

Practice Location & Contact Primary Location

Practice Address

155 W Ellendale Ave

Dallas, OR 973381407

Telephone 5036238010
Fax 5036239344

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, OR

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

Practicing in Dallas, 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 D5250

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 1053510966

Doctor of Dental Medicine

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 March 08, 2023

Record deactivated on March 08, 2023

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 155 W ELLENDALE AVE, DALLAS, OR 973381407 (Tel: 5036238010)

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Updated Business Mailing Address July 08, 2007

Registered at 155 W ELLENDALE AVE, DALLAS, OR 973381407 (Tel: 5036238010)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ALAN KOLB, DMD

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

Dentist (License #D5250 in OR)

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Initial NPI Registration & Enumeration July 19, 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: 1821018565
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2006
Last Update: July 08, 2007
Deactivation Date: March 08, 2023

Mailing Address

155 W Ellendale Ave

Dallas, OR 973381407

Phone: 5036238010

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.