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Deactivated NPI 1811003999 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Jay Davidson , DDS

Dentist - General Practice • El Paso, 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. Michael Davidson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2006
NPI Deactivation Date October 07, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Davidson, DDS was a registered Dentist - General Practice practicing in El Paso, TX. Throughout an active medical career spanning 13 years, Dr. Davidson provided care at the practice location at 3901 STATE JAIL RD until profile deactivation on 2019-10-07.

Practice Location & Contact Primary Location

Practice Address

3901 State Jail Rd

El Paso, TX 799388465

Telephone 9158560046
Fax 9158560124

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in El Paso, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
194 Specialists

Practicing in El Paso, 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 18520

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

1 Associated Practitioners
Blake Sporer , PA-C

Physician Assistant

NPI 1861012080

Physician Assistant (Certified)

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 October 07, 2019

Record deactivated on October 07, 2019

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 3901 STATE JAIL RD, EL PASO, TX 799388465 (Tel: 9158560046)

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Updated Business Mailing Address July 08, 2007

Registered at 6449 AMPOSTA DR, EL PASO, TX 799121814 (Tel: 9158334986)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL DAVIDSON, DDS

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

Dentist (License #18520 in TX)

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Initial NPI Registration & Enumeration August 22, 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: 1811003999
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 08, 2007
Deactivation Date: October 07, 2019

Mailing Address

6449 Amposta Dr

El Paso, TX 799121814

Phone: 9158334986

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.