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Deactivated NPI 1063510832 Deactivated / Inactive NPI Male Practitioner

Dr. Fred Richard Place , DMD

Dentist • Towanda, 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. Fred Place has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date July 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Place, DMD was a registered Dentist practicing in Towanda, PA. Throughout an active medical career spanning 12 years, Dr. Place provided care at the practice location at RR 6 BOX 6055 until profile deactivation on 2018-07-25.

Practice Location & Contact Primary Location

Practice Address

Rr 6 Box 6055

Towanda, PA 18848

Telephone 5702653617
Fax 5702628400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Towanda, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Towanda, PA (3554 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS025270L

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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 July 25, 2018

Record deactivated on July 25, 2018

NPI Profile Active July 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2011

Registered at RR 6 BOX 6055, TOWANDA, PA 18848 (Tel: 5702653617)

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Updated Business Mailing Address July 20, 2011

Registered at 323 GOLDEN MILE ROAD, TOWANDA, PA 18848 (Tel: 5702653617)

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Provider Name / Credentials Updated July 20, 2011

Recorded as FRED PLACE, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2011

Dentist (License #DS025270L in PA)

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Initial NPI Registration & Enumeration September 20, 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: 1063510832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 20, 2011
Deactivation Date: July 25, 2018

Mailing Address

323 Golden Mile Road

Towanda, PA 18848

Phone: 5702653617

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.