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Deactivated NPI 1053532457 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy G Dwyer , DDS

Dentist - General Practice • Grants Pass, 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. Timothy Dwyer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2007
NPI Deactivation Date July 30, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Dwyer, DDS was a registered Dentist - General Practice practicing in Grants Pass, OR. Throughout an active medical career spanning 19 years, Dr. Dwyer provided care at the practice location at 1212 NE 7TH ST until profile deactivation on 2026-07-30.

Practice Location & Contact Primary Location

Practice Address

1212 Ne 7th St

Grants Pass, OR 975261424

Telephone 5414792748
Fax 5414794701
Associated Practice Facility / Clinic
🏢 Timothy G Dwyer, Dds, Pc Facility NPI 1851513915

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Grants Pass, 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 D4690

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. George Olfson, Iii , DMD

Dentist - General Practice

NPI 1073734463

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 July 30, 2026

Record deactivated on July 30, 2026

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 1212 NE 7TH ST, GRANTS PASS, OR 975261424 (Tel: 5414792748)

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Updated Business Mailing Address July 08, 2007

Registered at 1212 NE 7TH ST, GRANTS PASS, OR 975261424 (Tel: 5414792748)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY DWYER, DDS

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

Dentist (License #D4690 in OR)

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Initial NPI Registration & Enumeration May 01, 2007

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: 1053532457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: July 08, 2007
Deactivation Date: July 30, 2026

Mailing Address

1212 Ne 7th St

Grants Pass, OR 975261424

Phone: 5414792748

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.