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Deactivated NPI 1952312316 Deactivated / Inactive NPI Male Practitioner

Dr. Bryan O Blevins , DDS

Dentist - General Practice • Lufkin, 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. Bryan Blevins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2006
NPI Deactivation Date June 09, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Blevins, DDS was a registered Dentist - General Practice practicing in Lufkin, TX. Throughout an active medical career spanning 16 years, Dr. Blevins provided care at the practice location at 1810 CHAMPIONS DR until profile deactivation on 2022-06-09.

Practice Location & Contact Primary Location

Practice Address

1810 Champions Dr

Lufkin, TX 759017454

Telephone 9366341334
Fax 9366341343

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lufkin, TX

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

Practicing in Lufkin, 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 7915

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 June 09, 2022

Record deactivated on June 09, 2022

NPI Profile Active March 05, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 05, 2014

Registered at 1810 CHAMPIONS DR, LUFKIN, TX 759017454 (Tel: 9366341334)

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Updated Business Mailing Address March 05, 2014

Registered at 1810 CHAMPIONS DR, LUFKIN, TX 759017454 (Tel: 9366341334)

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Provider Name / Credentials Updated March 05, 2014

Recorded as BRYAN BLEVINS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2014

Dentist (License #7915 in TX)

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Initial NPI Registration & Enumeration August 11, 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: 1952312316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: March 05, 2014
Deactivation Date: June 09, 2022

Mailing Address

1810 Champions Dr

Lufkin, TX 759017454

Phone: 9366341334

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.