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Deactivated NPI 1902815632 Deactivated / Inactive NPI Male Practitioner

Dr. Pablo Ramon Pena , DDS

Dentist - General Practice • Donna, 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. Pablo Pena has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2006
NPI Deactivation Date January 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Pablo Pena, DDS was a registered Dentist - General Practice practicing in Donna, TX. Throughout an active medical career spanning 19 years, Dr. Pena provided care at the practice location at 1204 HOOKS AVE until profile deactivation on 2025-01-30.

Practice Location & Contact Primary Location

Practice Address

1204 Hooks Ave

Donna, TX 785373342

Telephone 9564644514
Fax 9564613410

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Donna, TX

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

Practicing in Donna, 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 D12685

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 30, 2025

Record deactivated on January 30, 2025

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1204 HOOKS AVE, DONNA, TX 785373342 (Tel: 9564644514)

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Updated Business Mailing Address July 09, 2007

Registered at 1204 HOOKS AVE, DONNA, TX 785373342 (Tel: 9564644514)

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Provider Name / Credentials Updated July 09, 2007

Recorded as PABLO PENA, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #D12685 in TX)

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Initial NPI Registration & Enumeration August 05, 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: 1902815632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 09, 2007
Deactivation Date: January 30, 2025

Mailing Address

1204 Hooks Ave

Donna, TX 785373342

Phone: 9564644514

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.