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Deactivated NPI 1982621496 Deactivated / Inactive NPI Male Practitioner

Dr. Robert J Van Dyke , DDS

Dentist • Ashwaubenon, WI

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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. Robert Van Dyke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date July 30, 2013
Total Practice Duration ~7 Years of Practice (2006 – 2013)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Van Dyke, DDS was a registered Dentist practicing in Ashwaubenon, WI. Throughout an active medical career spanning 7 years, Dr. Van Dyke provided care at the practice location at 844 WILLARD DR until profile deactivation on 2013-07-30.

Practice Location & Contact Primary Location

Practice Address

844 Willard Dr

Ashwaubenon, WI 543045265

Telephone 9204971302

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ashwaubenon, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Ashwaubenon, WI (1850 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 WI 5000719

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

2 Associated Practitioners
Dr. Julie Farrell , DDS

Dentist - General Practice

NPI 1225167653

Doctor of Dental Surgery

Dr. Sarah Park , DMD

Dentist - General Practice

NPI 1417799800

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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Updated Practice Location February 11, 2015

Registered at 844 WILLARD DR, ASHWAUBENON, WI 543045265 (Tel: 9204971302)

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Updated Business Mailing Address February 11, 2015

Registered at 844 WILLARD DR, ASHWAUBENON, WI 543045265 (Tel: 9204971302)

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Provider Name / Credentials Updated February 11, 2015

Recorded as ROBERT VAN DYKE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Dentist (License #5000719 in WI)

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NPI Profile Reactivated May 16, 2014

Record officially reactivated for active practice on May 16, 2014

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NPI Profile Deactivated July 30, 2013

Record deactivated on July 30, 2013

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Initial NPI Registration & Enumeration July 17, 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: 1982621496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: February 11, 2015
Deactivation Date: July 30, 2013
Sole Proprietor: No

Mailing Address

844 Willard Dr

Ashwaubenon, WI 543045265

Phone: 9204971302

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.