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Deactivated NPI 1629023320 Deactivated / Inactive NPI Male Practitioner

Brian C. Cross , DENTIST

Dentist • 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, Brian Cross has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2006
NPI Deactivation Date June 10, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Brian Cross, DENTIST was a registered Dentist practicing in Manitowoc, WI. Throughout an active medical career spanning 13 years, Brian Cross provided care at the practice location at 2500 WASHINGTON ST until profile deactivation on 2019-06-10.

Practice Location & Contact Primary Location

Practice Address

2500 Washington St

Manitowoc, WI 542204858

Telephone 9206823522

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Manitowoc, WI

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

Practicing in Manitowoc, 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 IL 019.020191

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

1 Associated Practitioners
Dr. William Beaupre , DDS

Dentist - General Practice

NPI 1972508760

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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NPI Profile Deactivated June 10, 2019

Record deactivated on June 10, 2019

NPI Profile Active September 08, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2017

Registered at US HWY 491 NORTH, SHIPROCK, NM 87420 (Tel: 5053686001)

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Updated Business Mailing Address September 08, 2017

Registered at PO BOX 160, SHIPROCK, NM 87420 (Tel: (505) 368-6001)

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Provider Name / Credentials Updated September 08, 2017

Recorded as BRIAN CROSS, DENTIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2017

Dentist (License #100104015 in WI)

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Updated Practice Location March 14, 2017

Registered at 1211 DOLPHIN CT, WAUKESHA, WI 531861488 (Tel: 2629556649)

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Updated Business Mailing Address March 14, 2017

Registered at 1211 DOLPHIN CT, WAUKESHA, WI 531861488 (Tel: 2629556649)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Dentist (License #019020191 in IL)

NPI Profile Active February 04, 2015

NPI status registered as active in NPPES database

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Updated Practice Location February 04, 2015

Registered at 2500 WASHINGTON ST, MANITOWOC, WI 542204858 (Tel: 9206823522)

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Updated Business Mailing Address February 04, 2015

Registered at 2500 WASHINGTON ST, MANITOWOC, WI 542204858 (Tel: 9206823522)

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Provider Name / Credentials Updated February 04, 2015

Recorded as BRIAN CROSS, DENTIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2015

Dentist (License #019.020191 in IL)

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Initial NPI Registration & Enumeration May 23, 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: 1629023320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2006
Last Update: February 04, 2015
Deactivation Date: June 10, 2019

Mailing Address

2500 Washington St

Manitowoc, WI 542204858

Phone: 9206823522

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.