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Deactivated NPI 1235353699 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth Edward Aboussie , DDS

Dentist - General Practice • Wichita Falls, 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. Kenneth Aboussie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 13, 2007
NPI Deactivation Date August 21, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Aboussie, DDS was a registered Dentist - General Practice practicing in Wichita Falls, TX. Throughout an active medical career spanning 17 years, Dr. Aboussie provided care at the practice location at 2300 HARRISON ST until profile deactivation on 2024-08-21.

Practice Location & Contact Primary Location

Practice Address

2300 Harrison St

Wichita Falls, TX 763081342

Telephone 9407236677
Fax 9407236670
Associated Practice Facility / Clinic
🏢 Kenneth E. Aboussie Dds Facility NPI 1154542231

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wichita Falls, TX

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

Practicing in Wichita Falls, 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 9648

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 August 21, 2024

Record deactivated on August 21, 2024

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 2300 HARRISON ST, WICHITA FALLS, TX 763081342 (Tel: 9407236677)

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Updated Business Mailing Address July 08, 2007

Registered at 2300 HARRISON ST, WICHITA FALLS, TX 763081342 (Tel: 9407236677)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH ABOUSSIE, D.D.S

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

Dentist (License #9648 in TX)

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Initial NPI Registration & Enumeration April 13, 2007

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: 1235353699
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2007
Last Update: July 08, 2007
Deactivation Date: August 21, 2024

Mailing Address

2300 Harrison St

Wichita Falls, TX 763081342

Phone: 9407236677

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.