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Deactivated NPI 1538173216 Deactivated / Inactive NPI Male Practitioner

Dr. William E. Cusack , DDS

Dentist - Periodontics • Peoria, IL

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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. William Cusack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 28, 2006
NPI Deactivation Date October 11, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. William Cusack, DDS was a registered Dentist - Periodontics practicing in Peoria, IL. Throughout an active medical career spanning 18 years, Dr. Cusack provided care at the practice location at 5013 N UNIVERSITY ST until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

5013 N University St
Ste. 2

Peoria, IL 616144792

Telephone 3096932220
Fax 3096932272
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Peoria, IL (229 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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 October 11, 2024

Record deactivated on October 11, 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 5013 N UNIVERSITY ST, STE. 2, PEORIA, IL 616144792 (Tel: 3096932220)

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Updated Business Mailing Address July 08, 2007

Registered at 5013 N UNIVERSITY ST, STE. 2, PEORIA, IL 616144792 (Tel: 3096932220)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM CUSACK, DDS

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

Dentist

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Initial NPI Registration & Enumeration July 28, 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: 1538173216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: July 08, 2007
Deactivation Date: October 11, 2024

Mailing Address

5013 N University St, Ste. 2

Peoria, IL 616144792

Phone: 3096932220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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