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Deactivated NPI 1427121789 Deactivated / Inactive NPI Male Practitioner

Dr. Ted William Bengston , DDS

Dentist - General Practice • Bowler, 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. Ted Bengston has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2006
NPI Deactivation Date June 10, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Ted Bengston, DDS was a registered Dentist - General Practice practicing in Bowler, WI. Throughout an active medical career spanning 13 years, Dr. Bengston provided care at the practice location at W12082 COUNTY ROAD A until profile deactivation on 2019-06-10.

Practice Location & Contact Primary Location

Practice Address

W12082 County Road A

Bowler, WI 54414

Telephone 7157934144
Fax 7157934120
Associated Practice Facility / Clinic
🏢 Stockbridge Munsee Community Facility NPI 1629070180

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bowler, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Bowler, WI (2459 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 WI 2396-015

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

20 Associated Practitioners
Dr. Robert Swarts , DDS, MS

Dentist - General Practice

NPI 1013053024

Doctor of Dental Surgery, Master of Science

NPI 1013398387

Doctor of Dental Surgery

Dr. Thomas Zehren , DDS

Dentist - General Practice

NPI 1033281761

Doctor of Dental Surgery

Toni Montez

Dental Hygienist

NPI 1033367685
Marlene Miller , PC-TL, SACIT

Counselor - Professional

NPI 1033677216

PCTL, SACIT

Debra Safford

Nurse Practitioner - Family

NPI 1063512382

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 June 10, 2019

Record deactivated on June 10, 2019

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 W12082 COUNTY ROAD A, BOWLER, WI 54414 (Tel: 7157934144)

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Updated Business Mailing Address July 08, 2007

Registered at N4150 MAPLE DR, ANTIGO, WI 544098990 (Tel: 7156277573)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TED BENGSTON, DDS

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

Dentist (License #2396-015 in WI)

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Initial NPI Registration & Enumeration November 16, 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: 1427121789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: July 08, 2007
Deactivation Date: June 10, 2019

Mailing Address

N4150 Maple Dr

Antigo, WI 544098990

Phone: 7156277573

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.