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Deactivated NPI 1053320150 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome Buxbaum , DDS

Dentist - General Practice • Baltimore, MD

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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. Jerome Buxbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2006
NPI Deactivation Date July 17, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Buxbaum, DDS was a registered Dentist - General Practice practicing in Baltimore, MD. Throughout an active medical career spanning 14 years, Dr. Buxbaum provided care at the practice location at 1 GRISTMILL CT until profile deactivation on 2020-07-17.

Practice Location & Contact Primary Location

Practice Address

1 Gristmill Ct
Apt 402

Baltimore, MD 212081370

Telephone 4104868151

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Baltimore, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
324 Specialists

Practicing in Baltimore, MD (2555 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 MD 3013

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

7 Historical Events
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NPI Profile Deactivated July 17, 2020

Record deactivated on July 17, 2020

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 1 GRISTMILL CT, APT 402, BALTIMORE, MD 212081370 (Tel: 4104868151)

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Updated Business Mailing Address July 08, 2007

Registered at 1 GRISTMILL CT, APT 402, BALTIMORE, MD 212081370 (Tel: 4104868151)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEROME BUXBAUM, DDS

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

Dentist (License #3013 in MD)

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Initial NPI Registration & Enumeration August 07, 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: 1053320150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2006
Last Update: July 08, 2007
Deactivation Date: July 17, 2020

Mailing Address

1 Gristmill Ct, Apt 402

Baltimore, MD 212081370

Phone: 4104868151

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.