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Deactivated NPI 1861499683 Deactivated / Inactive NPI Male Practitioner

Dr. Andrew Holub , DDS

Dentist - General Practice • Eugene, 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. Andrew Holub has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Holub, DDS was a registered Dentist - General Practice practicing in Eugene, OR. Throughout an active medical career spanning 1 years, Dr. Holub provided care at the practice location at 1045 WILLAGILLESPIE RD until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

1045 Willagillespie Rd

Eugene, OR 974016799

Telephone 5414858717
Fax 5414852082
Associated Practice Facility / Clinic
🏢 Health Psychology Pc Facility NPI 1558427781

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eugene, OR

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

Practicing in Eugene, 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 5247

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 1124254230

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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Updated Practice Location July 08, 2007

Registered at 1045 WILLAGILLESPIE RD, EUGENE, OR 974016799 (Tel: 5414858717)

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Updated Business Mailing Address July 08, 2007

Registered at 1045 WILLAGILLESPIE RD, EUGENE, OR 974016799 (Tel: 5414858717)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANDREW HOLUB, D.D.S.

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

Dentist (License #5247 in OR)

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NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration July 07, 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: 1861499683
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2005
Last Update: July 13, 2026
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

1045 Willagillespie Rd

Eugene, OR 974016799

Phone: 5414858717

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.