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Deactivated NPI 1083695472 Deactivated / Inactive NPI Male Practitioner

Dr. Jay Doran Roeter , DDS

Dentist • Wenatchee, WA

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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. Jay Roeter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 11, 2005
NPI Deactivation Date October 27, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Roeter, DDS was a registered Dentist practicing in Wenatchee, WA. Throughout an active medical career spanning 16 years, Dr. Roeter provided care at the practice location at 600 ORONDO AVE until profile deactivation on 2021-10-27.

Practice Location & Contact Primary Location

Practice Address

600 Orondo Ave

Wenatchee, WA 988012800

Telephone 5096626000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Wenatchee, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Wenatchee, WA (2853 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE0002972

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Shyla Smith , MA

Counselor - Mental Health

NPI 1003167859

Master of Arts

NPI 1003341819

Doctor of Medicine (M.D.)

Carolyn Johnson , ARNP

Nurse Practitioner - Family

NPI 1003897745

Advanced Registered Nurse Practitioner

Christine Young

Nurse Practitioner - Pediatrics

NPI 1013258268
Vivian Lockett , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013615228

Advanced Registered Nurse Practitioner

Rachel Bollens , REGISTERED NURSE

Advanced Practice Midwife

NPI 1013656214

REGISTEREDNURSE

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 27, 2021

Record deactivated on October 27, 2021

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 600 ORONDO AVE, WENATCHEE, WA 988012800 (Tel: 5096626000)

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Updated Business Mailing Address July 08, 2007

Registered at 351 19TH ST NE, EAST WENATCHEE, WA 988028309

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAY ROETER, DDS

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

Dentist (License #DE0002972 in WA)

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Initial NPI Registration & Enumeration November 11, 2005

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: 1083695472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2005
Last Update: July 08, 2007
Deactivation Date: October 27, 2021

Mailing Address

351 19th St Ne

East Wenatchee, WA 988028309

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.