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Deactivated NPI 1003812470 Deactivated / Inactive NPI Male Practitioner

Dr. Dru Bart Bourland , DDS

Dentist - General Practice • Abilene, TX

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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. Dru Bourland has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Dru Bourland, DDS was a registered Dentist - General Practice practicing in Abilene, TX. Throughout an active medical career spanning 1 years, Dr. Bourland provided care at the practice location at 4601 BUFFALO GAP RD until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

4601 Buffalo Gap Rd
Ste D1

Abilene, TX 796063364

Telephone 3256953300
Fax 3256959899
Associated Practice Facility / Clinic
🏢 Bart Bourland D.d.s., P.a. Facility NPI 1598810558

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Abilene, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
54 Specialists

Practicing in Abilene, TX (10570 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 TX D18681

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
Johnathon Bogard

Dentist - General Practice

NPI 1528629664
Dr. Wes Soben , DDS

Dentist - General Practice

NPI 1952482564

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 4601 BUFFALO GAP RD, STE D1, ABILENE, TX 796063364 (Tel: 3256953300)

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Updated Business Mailing Address July 08, 2007

Registered at 4601 BUFFALO GAP RD, STE D1, ABILENE, TX 796063364 (Tel: 3256953300)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DRU BOURLAND, D.D.S.

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

Dentist (License #D18681 in TX)

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NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration June 22, 2005

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: 1003812470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: July 13, 2026
Deactivation Date: March 21, 2006
Sole Proprietor: No

Mailing Address

4601 Buffalo Gap Rd, Ste D1

Abilene, TX 796063364

Phone: 3256953300

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.