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Deactivated NPI 1720164346 Deactivated / Inactive NPI Male Practitioner

Dr. Joe R Gosham , DDS

Dentist - General Practice • Dallas, 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. Joe Gosham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2006
NPI Deactivation Date January 02, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Joe Gosham, DDS was a registered Dentist - General Practice practicing in Dallas, TX. Throughout an active medical career spanning 14 years, Dr. Gosham provided care at the practice location at 2222 PRAIRIE CREEK RD until profile deactivation on 2020-01-02.

Practice Location & Contact Primary Location

Practice Address

2222 Prairie Creek Rd

Dallas, TX 75227

Telephone 2143887416
Fax 2143887418
Associated Practice Facility / Clinic
🏢 Joe R. Gorham Dds,inc. Facility NPI 1235560574

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
749 Specialists

Practicing in Dallas, 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 7599

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.

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 January 02, 2020

Record deactivated on January 02, 2020

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 2222 PRAIRIE CREEK RD, DALLAS, TX 75227 (Tel: 2143887416)

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Updated Business Mailing Address July 08, 2007

Registered at 2222 PRAIRIE CREEK RD, DALLAS, TX 75227 (Tel: 2143887416)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOE GOSHAM, DDS

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

Dentist (License #7599 in TX)

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Initial NPI Registration & Enumeration October 27, 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: 1720164346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2006
Last Update: July 08, 2007
Deactivation Date: January 02, 2020

Mailing Address

2222 Prairie Creek Rd

Dallas, TX 75227

Phone: 2143887416

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.