Dr. Dennis E. Vitale , MD
Surgery - Pediatric Surgery • Provo, UT
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. Dennis Vitale has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dennis Vitale, MD was a registered Surgery - Pediatric Surgery practicing in Provo, UT. Throughout an active medical career spanning 13 years, Dr. Vitale provided care at the practice location at 2950 IROQUOIS DR until profile deactivation on 2021-06-16.
Practice Location & Contact Primary Location
2950 Iroquois Dr
Provo, UT 846044316
Specialty Benchmarks & Practice Insights
Comparative analytics for Surgery - Pediatric Surgery in Provo, UT
Practicing in Provo, UT (21 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 2086S0120X
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 16, 2021
NPI status registered as active in NPPES database
Registered at 2950 IROQUOIS DR, PROVO, UT 846044316 (Tel: 8013759350)
Registered at PO BOX 970640, OREM, UT 840970640 (Tel: 8013759350)
Recorded as DENNIS VITALE, M.D.
Surgery (License #150645-1205 in UT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 970640
Orem, UT 840970640
Phone: 8013759350
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