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Deactivated NPI 1003967472 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Charles Grim , DMD

Dentist - General Practice • Salem, 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. Robert Grim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 14, 2007
NPI Deactivation Date November 13, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Grim, DMD was a registered Dentist - General Practice practicing in Salem, OR. Throughout an active medical career spanning 11 years, Dr. Grim provided care at the practice location at 1540 COMMERCIAL ST SE until profile deactivation on 2018-11-13.

Practice Location & Contact Primary Location

Practice Address

1540 Commercial St Se

Salem, OR 973024310

Telephone 5033708030
Fax 5033707249
Associated Practice Facility / Clinic
🏢 Ronald J. Levine, D.m.d. Facility NPI 1538440763

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Salem, OR

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

Practicing in Salem, 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 D5348

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.

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 November 13, 2018

Record deactivated on November 13, 2018

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 1540 COMMERCIAL ST SE, SALEM, OR 973024310 (Tel: 5033708030)

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Updated Business Mailing Address July 08, 2007

Registered at 2898 DOGWOOD DR S, SALEM, OR 973024000 (Tel: 5033998333)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT GRIM, D.M.D.

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

Dentist (License #D5348 in OR)

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Initial NPI Registration & Enumeration January 14, 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: 1003967472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2007
Last Update: July 08, 2007
Deactivation Date: November 13, 2018

Mailing Address

2898 Dogwood Dr S

Salem, OR 973024000

Phone: 5033998333

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.