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Deactivated NPI 1407900012 Deactivated / Inactive NPI Male Practitioner

James Lavalla , DS

Dentist - General Practice • Phila, 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, James Lavalla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date August 28, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

James Lavalla, DS was a registered Dentist - General Practice practicing in Phila, PA. Throughout an active medical career spanning 18 years, James Lavalla provided care at the practice location at 626 SNYDER AVE until profile deactivation on 2025-08-28.

Practice Location & Contact Primary Location

Practice Address

626 Snyder Ave

Phila, PA 191482419

Telephone 2153344900
Fax 2153349721
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phila, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
28 Specialists

Practicing in Phila, 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 DS015432L

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

4 Associated Practitioners
Robert Beadle , DS

Dentist - General Practice

NPI 1154475853

Doctor of Dental Surgery

Dr. Prince Ofosu-Mensah , DMD

Dentist - General Practice

NPI 1568650166

Doctor of Dental Medicine

Lakecia Graham , DH

Dental Hygienist

NPI 1588718183

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 August 28, 2025

Record deactivated on August 28, 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 626 SNYDER AVE, PHILA, PA 191482419 (Tel: 2153344900)

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Updated Business Mailing Address July 08, 2007

Registered at 432 N 6TH ST, PHILA, PA 191234004 (Tel: 2159252400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES LAVALLA, DS

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

Dentist (License #DS015432L in PA)

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Initial NPI Registration & Enumeration January 22, 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: 1407900012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Deactivation Date: August 28, 2025

Mailing Address

432 N 6th St

Phila, PA 191234004

Phone: 2159252400

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.