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Deactivated NPI 1225036189 Deactivated / Inactive NPI Male Practitioner

Dr. Michael C. Duval , DMD

Dentist - General Practice • Reedsport, 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. Michael Duval has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2005
NPI Deactivation Date March 25, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Duval, DMD was a registered Dentist - General Practice practicing in Reedsport, OR. Throughout an active medical career spanning 1 years, Dr. Duval provided care at the practice location at 2640 FRONTAGE RD until profile deactivation on 2006-03-25.

Practice Location & Contact Primary Location

Practice Address

2640 Frontage Rd

Reedsport, OR 974671813

Telephone 5412714858
Fax 5412714859

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Reedsport, OR

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

Practicing in Reedsport, 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 D05541

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
078758 (OR)

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 09, 2007

Registered at 2640 FRONTAGE RD, REEDSPORT, OR 974671813 (Tel: 5412714858)

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Updated Business Mailing Address July 09, 2007

Registered at 2640 FRONTAGE RD, REEDSPORT, OR 974671813 (Tel: 5412714858)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL DUVAL, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D05541 in OR)

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NPI Profile Reactivated April 14, 2006

Record officially reactivated for active practice on April 14, 2006

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NPI Profile Deactivated March 25, 2006

Record deactivated on March 25, 2006

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Initial NPI Registration & Enumeration July 13, 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: 1225036189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: July 13, 2026
Deactivation Date: March 25, 2006
Sole Proprietor: No

Mailing Address

2640 Frontage Rd

Reedsport, OR 974671813

Phone: 5412714858

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.