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Deactivated NPI 1346355914 Deactivated / Inactive NPI Male Practitioner

Dr. Gordon William Gennrich , DDS

Dentist - General Practice • Milton, VT

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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. Gordon Gennrich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2006
NPI Deactivation Date April 27, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Gennrich, DDS was a registered Dentist - General Practice practicing in Milton, VT. Throughout an active medical career spanning 12 years, Dr. Gennrich provided care at the practice location at 787 ETHAN ALLEN HIGHWAY until profile deactivation on 2018-04-27.

Practice Location & Contact Primary Location

Practice Address

787 Ethan Allen Highway

Milton, VT 05468

Telephone 8028931600
Fax 8028931500

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Milton, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Milton, VT (279 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 VT 952

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 April 27, 2018

Record deactivated on April 27, 2018

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 787 ETHAN ALLEN HIGHWAY, MILTON, VT 05468 (Tel: 8028931600)

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Updated Business Mailing Address July 08, 2007

Registered at 787 ETHAN ALLEN HIGHWAY, MILTON, VT 05468 (Tel: 8028931600)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GORDON GENNRICH, DDS

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

Dentist (License #952 in VT)

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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: 1346355914
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: April 27, 2018

Mailing Address

787 Ethan Allen Highway

Milton, VT 05468

Phone: 8028931600

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.