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Deactivated NPI 1669530002 Deactivated / Inactive NPI Male Practitioner

Dr. Dan L Beaupre , DDS

Dentist - General Practice • Manitowoc, 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. Dan Beaupre has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2006
NPI Deactivation Date January 17, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Dan Beaupre, DDS was a registered Dentist - General Practice practicing in Manitowoc, WI. Throughout an active medical career spanning 18 years, Dr. Beaupre provided care at the practice location at 4725 PLANK ROAD until profile deactivation on 2024-01-17.

Practice Location & Contact Primary Location

Practice Address

4725 Plank Road

Manitowoc, WI 54220

Telephone 9206827881
Fax 9206828690
Associated Practice Facility / Clinic
🏢 Lakeshore Dental Sc Facility NPI 1134289044

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Manitowoc, WI

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

Practicing in Manitowoc, 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 3955

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

2 Associated Practitioners
Dr. Michael Orchekowski , DDS

Dentist - General Practice

NPI 1194883439

Doctor of Dental Surgery

NPI 1730769654

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 January 17, 2024

Record deactivated on January 17, 2024

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 4725 PLANK ROAD, MANITOWOC, WI 54220 (Tel: 9206827881)

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Updated Business Mailing Address July 08, 2007

Registered at 4725 PLANK ROAD, MANITOWOC, WI 54220 (Tel: 9206827881)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAN BEAUPRE, DDS

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

Dentist (License #3955 in WI)

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Initial NPI Registration & Enumeration December 05, 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: 1669530002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: July 08, 2007
Deactivation Date: January 17, 2024

Mailing Address

4725 Plank Road

Manitowoc, WI 54220

Phone: 9206827881

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.