Dr. Blaine Patrick Cusck , BS, DDS
Dentist - General Practice • Countryside, IL
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. Blaine Cusck has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Blaine Cusck, BS, DDS was a registered Dentist - General Practice practicing in Countryside, IL. Throughout an active medical career spanning 15 years, Dr. Cusck provided care at the practice location at 475 W 55TH ST until profile deactivation on 2022-03-03.
Practice Location & Contact Primary Location
475 W 55th St
Suite 207
Countryside, IL 605253564
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Countryside, IL
Practicing in Countryside, IL (5581 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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - Endodontics
DDSMS
Dentist - General Practice
Doctor of Dental Surgery
Dentist - Endodontics
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 03, 2022
Registered at 475 W 55TH ST STE 207, COUNTRYSIDE, IL 605253566 (Tel: 7084820300)
Dentist (License #019019211 in ID)
NPI status registered as active in NPPES database
Registered at 475 W 55TH ST, SUITE 207, COUNTRYSIDE, IL 605253564 (Tel: 7084820300)
Registered at 475 W 55TH ST, SUITE 207, COUNTRYSIDE, IL 605253564 (Tel: 7084820300)
Recorded as BLAINE CUSCK, B.S., D.D.S.
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
475 W 55th St, Suite 207
Countryside, IL 605253564
Phone: 7084820300
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