Dr. Dale John Petrusha , DDS
Dentist - General Practice • Dearborn Heights, MI
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. Dale Petrusha has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dale Petrusha, DDS was a registered Dentist - General Practice practicing in Dearborn Heights, MI. Throughout an active medical career spanning 16 years, Dr. Petrusha provided care at the practice location at 25908 FORD RD until profile deactivation on 2022-05-24.
Practice Location & Contact Primary Location
25908 Ford Rd
Dearborn Heights, MI 481272936
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Dearborn Heights, MI
Practicing in Dearborn Heights, MI (4360 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 May 24, 2022
NPI status registered as active in NPPES database
Registered at 25908 FORD RD, DEARBORN HEIGHTS, MI 481272936 (Tel: 3132770050)
Registered at 25908 FORD RD, DEARBORN HEIGHTS, MI 481272936 (Tel: 3132770050)
Recorded as DALE PETRUSHA, D.D.S.
Dentist (License #013800 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
25908 Ford Rd
Dearborn Heights, MI 481272936
Phone: 3132770050
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