Dr. Robert Louis Ducklo , DDS
Dentist - General Practice • Memphis, TN
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 Ducklo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Ducklo, DDS was a registered Dentist - General Practice practicing in Memphis, TN. Throughout an active medical career spanning 17 years, Dr. Ducklo provided care at the practice location at 1711 KIRBY PKWY until profile deactivation on 2024-11-15.
Practice Location & Contact Primary Location
1711 Kirby Pkwy
Memphis, TN 381204367
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Memphis, TN
Practicing in Memphis, TN (2175 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 15, 2024
NPI status registered as active in NPPES database
Registered at 1711 KIRBY PKWY, MEMPHIS, TN 381204367 (Tel: 9017548846)
Registered at 1711 KIRBY PKWY, MEMPHIS, TN 381204367 (Tel: 9017548846)
Recorded as ROBERT DUCKLO, D.D.S.
Dentist (License #DS0000001914 in TN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1711 Kirby Pkwy
Memphis, TN 381204367
Phone: 9017548846
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