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Deactivated NPI 1053449231 Deactivated / Inactive NPI Male Practitioner

Dr. Earl Ephriam Klioze , DDS

Dentist - General Practice • Burke, 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. Earl Klioze has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2007
NPI Deactivation Date October 11, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Earl Klioze, DDS was a registered Dentist - General Practice practicing in Burke, VA. Throughout an active medical career spanning 17 years, Dr. Klioze provided care at the practice location at 9425 BRADDOCK RD until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

9425 Braddock Rd

Burke, VA 220151522

Telephone 7033239120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Burke, VA

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

Practicing in Burke, 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 VA 3373

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

1 Associated Practitioners
Dr. Jin Young Kim , DMD

Dentist - General Practice

NPI 1861110520

Doctor of Dental Medicine

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 October 11, 2024

Record deactivated on October 11, 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 9425 BRADDOCK RD, BURKE, VA 220151522 (Tel: 7033239120)

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Updated Business Mailing Address July 08, 2007

Registered at 9425 BRADDOCK RD, BURKE, VA 220151522 (Tel: 7033239120)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EARL KLIOZE, DDS

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

Dentist (License #VA 3373 in VA)

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Initial NPI Registration & Enumeration March 01, 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: 1053449231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2007
Last Update: July 08, 2007
Deactivation Date: October 11, 2024

Mailing Address

9425 Braddock Rd

Burke, VA 220151522

Phone: 7033239120

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.