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Active NPI 1881768166 Individual Practitioner Male Practitioner

Dr. Gordon Joseph Miniclier , DDS PC

Dentist - General Practice • Independence, VA

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Miniclier, DDS PC is a registered healthcare professional specializing in Dentist - General Practice in Independence, VA. Practice services are available at 150 WEST MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

150 West Main Street

Independence, VA 243480560

Telephone 2767733521
Fax 2767733822

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Independence, VA

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

Practicing in Independence, 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 0401005508

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 150 WEST MAIN STREET, INDEPENDENCE, VA 243480560 (Tel: 2767733521)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 560, 150 WEST MAIN STREET, INDEPENDENCE, VA 243480560 (Tel: 2767733521)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GORDON MINICLIER, DDS PC

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

Dentist (License #0401005508 in VA)

🟢
Initial NPI Registration & Enumeration November 20, 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: 1881768166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Po Box 560, 150 West Main Street

Independence, VA 243480560

Phone: 2767733521

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.