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Deactivated NPI 1588826184 Deactivated / Inactive NPI Male Practitioner

Dr. Gary S Nelson , DMD

Dentist - General Practice • Leesburg, 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. Gary Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 26, 2008
NPI Deactivation Date February 11, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Nelson, DMD was a registered Dentist - General Practice practicing in Leesburg, VA. Throughout an active medical career spanning 11 years, Dr. Nelson provided care at the practice location at 21 FORT EVANS RD NE STE E until profile deactivation on 2019-02-11.

Practice Location & Contact Primary Location

Practice Address

21 Fort Evans Rd Ne Ste E

Leesburg, VA 201764488

Telephone 7037777307
Fax 7037777840
Associated Practice Facility / Clinic
🏢 Gary S Nelson Dmd Inc Facility NPI 1609983931

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Leesburg, VA

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

Practicing in Leesburg, 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 007110

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
NPI 1275840555

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 February 11, 2019

Record deactivated on February 11, 2019

NPI Profile Active July 01, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2011

Registered at 21 FORT EVANS RD NE STE E, LEESBURG, VA 201764488 (Tel: 7037777307)

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Updated Business Mailing Address July 01, 2011

Registered at 21 FORT EVANS RD NE STE E, LEESBURG, VA 20176 (Tel: 7037777307)

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Provider Name / Credentials Updated July 01, 2011

Recorded as GARY NELSON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2011

Dentist (License #007110 in VA)

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Initial NPI Registration & Enumeration June 26, 2008

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: 1588826184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2008
Last Update: July 01, 2011
Deactivation Date: February 11, 2019

Mailing Address

21 Fort Evans Rd Ne Ste E

Leesburg, VA 20176

Phone: 7037777307

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.