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Deactivated NPI 1285740407 Deactivated / Inactive NPI Male Practitioner

Dr. George M Bailey , DDS

Dentist - Periodontics • Provo, UT

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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. George Bailey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2006
NPI Deactivation Date July 12, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. George Bailey, DDS was a registered Dentist - Periodontics practicing in Provo, UT. Throughout an active medical career spanning 17 years, Dr. Bailey provided care at the practice location at 3585 N UNIVERSITY AVE until profile deactivation on 2023-07-12.

Practice Location & Contact Primary Location

Practice Address

3585 N University Ave
200

Provo, UT 846046601

Telephone 8013568802
Fax 8013568803
Associated Practice Facility / Clinic
🏢 Howard A Knudsen Pt Pc Facility NPI 1881752830

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Provo, UT (45 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License UT 137575

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Brian Olenslager , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1225036064

Doctor of Medicine (M.D.)

Dr. Tao Li , MD

Pain Medicine - Interventional Pain Medicine

NPI 1376725143

Doctor of Medicine (M.D.)

Jenny Reardon

Social Worker - Clinical

NPI 1871958686

Career & Practice History Timeline

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

14 Historical Events
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NPI Profile Deactivated July 12, 2023

Record deactivated on July 12, 2023

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Updated Practice Location January 17, 2023

Registered at 1275 E FORT UNION BLVD STE 201, MIDVALE, UT 840471885 (Tel: 8015691400)

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Updated Business Mailing Address January 17, 2023

Registered at 1275 E FORT UNION BLVD STE 201, MIDVALE, UT 840471885 (Tel: 8015691400)

NPI Profile Active May 02, 2017

NPI status registered as active in NPPES database

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Updated Practice Location May 02, 2017

Registered at 3585 N UNIVERSITY AVE STE 200, 200, PROVO, UT 846046631 (Tel: 8013568802)

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Updated Business Mailing Address May 02, 2017

Registered at 3585 N UNIVERSITY AVE STE 200, 200, PROVO, UT 846046631 (Tel: 8013568802)

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Provider Name / Credentials Updated May 02, 2017

Recorded as GEORGE BAILEY, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2017

Dentist (License #137575 in UT)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3585 N UNIVERSITY AVE, 200, PROVO, UT 846046601 (Tel: 8013568802)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3585 N UNIVERSITY AVE, 200, PROVO, UT 846046601 (Tel: 8013568802)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GEORGE BAILEY, D.D.S.

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

Dentist (License #137575 in UT)

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Initial NPI Registration & Enumeration August 21, 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: 1285740407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: July 08, 2007
Deactivation Date: July 12, 2023

Mailing Address

3585 N University Ave, 200

Provo, UT 846046601

Phone: 8013568802

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.