Dr. Kurt Bazilus , DDS
Dentist - General Practice • Mesa, AZ
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. Kurt Bazilus has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kurt Bazilus, DDS was a registered Dentist - General Practice practicing in Mesa, AZ. Throughout an active medical career spanning 12 years, Dr. Bazilus provided care at the practice location at 525 W. SOUTHERN AVE. until profile deactivation on 2019-08-26.
Practice Location & Contact Primary Location
525 W. Southern Ave.
Mesa, AZ 852101837
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Mesa, AZ
Practicing in Mesa, AZ (2600 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on August 26, 2019
NPI status registered as active in NPPES database
Registered at 525 W. SOUTHERN AVE., MESA, AZ 852101837 (Tel: 4809648982)
Registered at 2516 GRAYSON CIR, SAN ANTONIO, TX 782321837 (Tel: 3039612777)
Recorded as KURT BAZILUS, DDS
Dentist (License #D7273 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2516 Grayson Cir
San Antonio, TX 782321837
Phone: 3039612777
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