Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407052038 Deactivated / Inactive NPI Male Practitioner

Dr. Milton Siskin , DDS

Dentist - General Practice • Memphis, TN

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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. Milton Siskin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2007
NPI Deactivation Date August 24, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Milton Siskin, DDS was a registered Dentist - General Practice practicing in Memphis, TN. Throughout an active medical career spanning 15 years, Dr. Siskin provided care at the practice location at 5180 PARK AVE until profile deactivation on 2022-08-24.

Practice Location & Contact Primary Location

Practice Address

5180 Park Ave
310

Memphis, TN 381193521

Telephone 9016851152
Fax 9016826846
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
236 Specialists

Practicing in Memphis, TN (2175 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 TN DS0000004206

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

2 Associated Practitioners
Dr. Marion Bailey , DMD

Dentist - General Practice

NPI 1114122140

Doctor of Dental Medicine

Stephen Lindsey

Dentist - General Practice

NPI 1366782906

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated August 24, 2022

Record deactivated on August 24, 2022

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Updated Practice Location January 07, 2019

Registered at COFFEEN PLAZA DENTAL, 1003 COFFEEN AVENUE, SHERIDAN, WY 82801 (Tel: 3076746330)

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 5180 PARK AVE, 310, MEMPHIS, TN 381193521 (Tel: 9016851152)

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Updated Business Mailing Address July 08, 2007

Registered at 5180 PARK AVE, 310, MEMPHIS, TN 381193521 (Tel: 9016851152)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MILTON SISKIN, DDS

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

Dentist (License #DS0000004206 in TN)

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Initial NPI Registration & Enumeration June 21, 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: 1407052038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2007
Last Update: July 08, 2007
Deactivation Date: August 24, 2022

Mailing Address

5180 Park Ave, 310

Memphis, TN 381193521

Phone: 9016851152

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.