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Deactivated NPI 1821173261 Deactivated / Inactive NPI Male Practitioner

Dr. William Fauknor Wine , DDS

Dentist - General Practice • Burgess, VA

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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. William Wine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2006
NPI Deactivation Date July 19, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. William Wine, DDS was a registered Dentist - General Practice practicing in Burgess, VA. Throughout an active medical career spanning 17 years, Dr. Wine provided care at the practice location at 746 JESSIE DUPONT MEMORIAL HIGHWAY until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

746 Jessie Dupont Memorial Highway

Burgess, VA 22432

Telephone 8045297157
Fax 8044533450

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Burgess, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Burgess, VA (3535 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 VA 2837

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Alfred Hurt , DDS

Dentist - General Practice

NPI 1043231558

Doctor of Dental Surgery

Dr. Leslie Fina , DDS

Dentist - General Practice

NPI 1225285307

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 July 19, 2023

Record deactivated on July 19, 2023

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 746 JESSIE DUPONT MEMORIAL HIGHWAY, BURGESS, VA 22432 (Tel: 8045297157)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 692, WILLIAM F WINE, CALLAO, VA 22435 (Tel: 8045295399)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM WINE, DDS

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

Dentist (License #2837 in VA)

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Initial NPI Registration & Enumeration October 26, 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: 1821173261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Deactivation Date: July 19, 2023

Mailing Address

Po Box 692, William F Wine

Callao, VA 22435

Phone: 8045295399

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.