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Deactivated NPI 1851346852 Deactivated / Inactive NPI Male Practitioner

Dr. Raymond W Cozby , DDS

Dentist • Tyler, 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. Raymond Cozby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2006
NPI Deactivation Date April 12, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Raymond Cozby, DDS was a registered Dentist practicing in Tyler, TX. Throughout an active medical career spanning 16 years, Dr. Cozby provided care at the practice location at 5540 OLD JACKSONVILLE HIGHWAY until profile deactivation on 2022-04-12.

Practice Location & Contact Primary Location

Practice Address

5540 Old Jacksonville Highway

Tyler, TX 75703

Telephone 9035972121
Fax 9035817776
Associated Practice Facility / Clinic
🏢 Kent B Boozer Dds Pa Facility NPI 1508046129

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Tyler, TX (6851 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 7926

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Donna Gordon Lindsey , DDS

Dentist - General Practice

NPI 1053321778

Doctor of Dental Surgery

Dr. Mary Nixon , DDS

Dentist - General Practice

NPI 1245127331

Doctor of Dental Surgery

Dr. Aimee Massey , DDS

Dentist - General Practice

NPI 1427258573

Doctor of Dental Surgery

Dr. Blaire Miers , DDS

Dentist - General Practice

NPI 1437564887

Doctor of Dental Surgery

Dr. Bethany Flanders , DDS

Dentist - General Practice

NPI 1447703053

Doctor of Dental Surgery

Dr. Kent Boozer , DDS

Dentist - Pediatric Dentistry

NPI 1578502878

Doctor of Dental Surgery

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 April 12, 2022

Record deactivated on April 12, 2022

NPI Profile Active September 05, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 05, 2007

Registered at 5540 OLD JACKSONVILLE HIGHWAY, TYLER, TX 75703 (Tel: 9035972121)

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Updated Business Mailing Address September 05, 2007

Registered at 1802 VANCE CIR, AUSTIN, TX 787011035 (Tel: 5124811807)

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Provider Name / Credentials Updated September 05, 2007

Recorded as RAYMOND COZBY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2007

Dentist (License #7926 in TX)

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Initial NPI Registration & Enumeration May 24, 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: 1851346852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: September 05, 2007
Deactivation Date: April 12, 2022

Mailing Address

1802 Vance Cir

Austin, TX 787011035

Phone: 5124811807

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.