Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1679613921 Deactivated / Inactive NPI Male Practitioner

Dr. Peter Grossman , DMD

Dentist - General Practice • Medford, MA

⚠️

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. Peter Grossman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2007
NPI Deactivation Date January 30, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Grossman, DMD was a registered Dentist - General Practice practicing in Medford, MA. Throughout an active medical career spanning 18 years, Dr. Grossman provided care at the practice location at 84 HIGH ST STE 5 until profile deactivation on 2025-01-30.

Practice Location & Contact Primary Location

Practice Address

84 High St Ste 5

Medford, MA 021553844

Telephone 7813930008
Associated Practice Facility / Clinic
🏢 Medford Tlc Dental Group, Llc Facility NPI 1457863953

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Medford, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
40 Specialists

Practicing in Medford, MA (3722 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 MA 17719

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
⚠️
NPI Profile Deactivated January 30, 2025

Record deactivated on January 30, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 84 HIGH ST STE 5, MEDFORD, MA 021553844 (Tel: 7813930008)

📍
Updated Business Mailing Address July 08, 2007

Registered at 84 HIGH ST STE 5, MEDFORD, MA 021553844 (Tel: 7813930008)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER GROSSMAN, DMD

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

Dentist (License #17719 in MA)

🟢
Initial NPI Registration & Enumeration February 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Peter Grossman. Be the first to share your experience!

Sign in to leave a review for Dr. Peter Grossman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679613921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: July 08, 2007
Deactivation Date: January 30, 2025

Mailing Address

84 High St Ste 5

Medford, MA 021553844

Phone: 7813930008

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.