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Deactivated NPI 1407988397 Deactivated / Inactive NPI Male Practitioner

Dr. William Dale Bettis , DMD

Dentist - General Practice • Roseburg, 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. William Bettis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 09, 2007
NPI Deactivation Date April 29, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. William Bettis, DMD was a registered Dentist - General Practice practicing in Roseburg, OR. Throughout an active medical career spanning 16 years, Dr. Bettis provided care at the practice location at 1729 W HARVARD AVE STE 2 until profile deactivation on 2023-04-29.

Practice Location & Contact Primary Location

Practice Address

1729 W Harvard Ave Ste 2
Suite 2

Roseburg, OR 974702795

Telephone 5416736344
Fax 5416739706
Associated Practice Facility / Clinic
🏢 William D. Bettis, Dmd, Pc Facility NPI 1083986673

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Roseburg, OR

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

Practicing in Roseburg, 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 4498

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. Vyacheslav Dmytruk , DMD

Dentist - General Practice

NPI 1356748784

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 April 29, 2023

Record deactivated on April 29, 2023

NPI Profile Active September 21, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 21, 2011

Registered at 1729 W HARVARD AVE STE 2, SUITE 2, ROSEBURG, OR 974702795 (Tel: 5416736344)

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Updated Business Mailing Address September 21, 2011

Registered at 1729 W HARVARD AVE STE 2, SUITE 2, ROSEBURG, OR 974712795 (Tel: 5416736344)

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Provider Name / Credentials Updated September 21, 2011

Recorded as WILLIAM BETTIS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2011

Dentist (License #4498 in OR)

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Initial NPI Registration & Enumeration March 09, 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: 1407988397
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: September 21, 2011
Deactivation Date: April 29, 2023

Mailing Address

1729 W Harvard Ave Ste 2, Suite 2

Roseburg, OR 974712795

Phone: 5416736344

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.