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Deactivated NPI 1992978779 Deactivated / Inactive NPI Male Practitioner

Dr. Theodore Glenn Schrubbe , DDS

Dentist - General Practice • Elm Grove, 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. Theodore Schrubbe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2008
NPI Deactivation Date May 22, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Schrubbe, DDS was a registered Dentist - General Practice practicing in Elm Grove, WI. Throughout an active medical career spanning 17 years, Dr. Schrubbe provided care at the practice location at 1150 RED BARN LN until profile deactivation on 2025-05-22.

Practice Location & Contact Primary Location

Practice Address

1150 Red Barn Ln

Elm Grove, WI 531221958

Telephone 4149756668

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elm Grove, WI

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

Practicing in Elm Grove, 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 6228

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

7 Historical Events
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NPI Profile Deactivated May 22, 2025

Record deactivated on May 22, 2025

NPI Profile Active June 11, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2008

Registered at 1150 RED BARN LN, ELM GROVE, WI 531221958 (Tel: 4149756668)

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Updated Business Mailing Address June 11, 2008

Registered at 1150 RED BARN LN, ELM GROVE, WI 531221958 (Tel: 4149756668)

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Provider Name / Credentials Updated June 11, 2008

Recorded as THEODORE SCHRUBBE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2008

Dentist (License #6228 in WI)

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Initial NPI Registration & Enumeration April 11, 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: 1992978779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2008
Last Update: June 11, 2008
Deactivation Date: May 22, 2025

Mailing Address

1150 Red Barn Ln

Elm Grove, WI 531221958

Phone: 4149756668

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.