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Deactivated NPI 1891862504 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce Wallace Mold , DMD

Dentist • 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. Bruce Mold has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date October 21, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Mold, DMD was a registered Dentist practicing in Eugene, OR. Throughout an active medical career spanning 13 years, Dr. Mold provided care at the practice location at 1680 CHAMBERS ST until profile deactivation on 2019-10-21.

Practice Location & Contact Primary Location

Practice Address

1680 Chambers St
Suite 105

Eugene, OR 97402

Telephone 5413414553
Fax 5414857336
Associated Practice Facility / Clinic
🏢 William R. Losie O.d. P.c. Facility NPI 1275800559

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Eugene, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
70 Specialists

Practicing in Eugene, OR (1289 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D4755

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Caroline Crippen , RN

Registered Nurse - Community Health

NPI 1093479115

Registered Nurse

Dr. Wenlang Zhang , DDS

Dentist - General Practice

NPI 1164772554

Doctor of Dental Surgery

Jennifer Poynter , RN

Registered Nurse

NPI 1508357740

Registered Nurse

Chelsey Strong , RN

Registered Nurse

NPI 1598471674

Registered Nurse

Dr. Brad Chvatal , DMD MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1629185889

DMDMS

Amy Trezona

Community Health Worker

NPI 1639688674

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 October 21, 2019

Record deactivated on October 21, 2019

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 1680 CHAMBERS ST, SUITE 105, EUGENE, OR 97402 (Tel: 5413414553)

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Updated Business Mailing Address July 08, 2007

Registered at 1653 BAILEY HILL RD, EUGENE, OR 97402 (Tel: 5414853578)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE MOLD, DMD

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

Dentist (License #D4755 in OR)

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Initial NPI Registration & Enumeration November 29, 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: 1891862504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 08, 2007
Deactivation Date: October 21, 2019

Mailing Address

1653 Bailey Hill Rd

Eugene, OR 97402

Phone: 5414853578

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.