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Deactivated NPI 1720187727 Deactivated / Inactive NPI Male Practitioner

Dr. Elgene G Mainous , DDS

Dentist - General Practice • Galveston, 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. Elgene Mainous has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2006
NPI Deactivation Date September 25, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Elgene Mainous, DDS was a registered Dentist - General Practice practicing in Galveston, TX. Throughout an active medical career spanning 19 years, Dr. Mainous provided care at the practice location at 301 UNIVERSITY BLVD until profile deactivation on 2025-09-25.

Practice Location & Contact Primary Location

Practice Address

301 University Blvd

Galveston, TX 775555302

Telephone 4409772222
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Galveston, TX

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

Practicing in Galveston, 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 10973

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

40 Associated Practitioners
Amy Haverty , PNP

Nurse Practitioner - Pediatrics

NPI 1003019969

Pediatric Nurse Practitioner

Eva Blight , NNP

Nurse Practitioner - Neonatal

NPI 1003085259
Dr. Jennifer Minneman , MD

Surgery - Trauma Surgery

NPI 1003105289

Doctor of Medicine (M.D.)

Dr. James Pavela , MD

Internal Medicine

NPI 1003229147

Doctor of Medicine (M.D.)

Diaa Hamouda , MBBCH

Psychiatry & Neurology - Neurology

NPI 1003268889
NPI 1003303892

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated September 25, 2025

Record deactivated on September 25, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2025

Oral & Maxillofacial Surgery (License #10973 in TX)

NPI Profile Active July 07, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 07, 2009

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775555302 (Tel: 4409772222)

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Updated Business Mailing Address July 07, 2009

Registered at 301 UNIVERSITY BLVD, GALVESTON, TX 775555302 (Tel: 4097722222)

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Provider Name / Credentials Updated July 07, 2009

Recorded as ELGENE MAINOUS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2009

Dentist (License #10973 in TX)

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Initial NPI Registration & Enumeration September 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: 1720187727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2006
Last Update: July 07, 2009
Deactivation Date: September 25, 2025

Mailing Address

301 University Blvd

Galveston, TX 775555302

Phone: 4097722222

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.