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Deactivated NPI 1457412207 Deactivated / Inactive NPI Male Practitioner

Dr. David Henry Stachowicz , DMD

Dentist - General Practice • Lebanon, PA

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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. David Stachowicz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2006
NPI Deactivation Date October 16, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. David Stachowicz, DMD was a registered Dentist - General Practice practicing in Lebanon, PA. Throughout an active medical career spanning 19 years, Dr. Stachowicz provided care at the practice location at 303 E WALNUT ST until profile deactivation on 2025-10-16.

Practice Location & Contact Primary Location

Practice Address

303 E Walnut St

Lebanon, PA 170425648

Telephone 7172737162
Fax 7172731999

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lebanon, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Lebanon, PA (4936 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 PA DSO19582

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. Ray Wise , DMD

Dentist - General Practice

NPI 1740402981

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 October 16, 2025

Record deactivated on October 16, 2025

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 303 E WALNUT ST, LEBANON, PA 170425648 (Tel: 7172737162)

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Updated Business Mailing Address July 08, 2007

Registered at 303 E WALNUT ST, LEBANON, PA 170425648 (Tel: 7172737162)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID STACHOWICZ, DMD

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

Dentist (License #DSO19582 in PA)

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Initial NPI Registration & Enumeration December 13, 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: 1457412207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 08, 2007
Deactivation Date: October 16, 2025

Mailing Address

303 E Walnut St

Lebanon, PA 170425648

Phone: 7172737162

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.