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Deactivated NPI 1932147097 Deactivated / Inactive NPI Male Practitioner

Dr. Mark T. Marunick , DDS

Dentist • Detroit, MI

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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. Mark Marunick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2006
NPI Deactivation Date June 30, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Marunick, DDS was a registered Dentist practicing in Detroit, MI. Throughout an active medical career spanning 14 years, Dr. Marunick provided care at the practice location at UNIVERSITY HEALTH CENTER until profile deactivation on 2020-06-30.

Historical Medicare Part B clinical services included impression and custom preparation of temporary oral prosthesis, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

University Health Center
4201 St Antoine Ste 5g

Detroit, MI 48201

Telephone 3137451731
Fax 3135778555
Associated Practice Facility / Clinic
🏢 University Physician Group Facility NPI 1326087685

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Detroit, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
194 Specialists

Practicing in Detroit, MI (3647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
21079 Impression and custom preparation of temporary oral prosthesis
16 13 $3875.00 $1695.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
13 11 $173.08 $104.17

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901011094

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Matthew Kuntzman , MD

Student in an Organized Health Care Education/Training Program

NPI 1336992510

Doctor of Medicine (M.D.)

Kamdili Ogbutor

Student in an Organized Health Care Education/Training Program

NPI 1437092863
NPI 1447547757

Doctor of Audiology

NPI 1578764551

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 June 30, 2020

Record deactivated on June 30, 2020

NPI Profile Active October 27, 2016

NPI status registered as active in NPPES database

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Updated Practice Location October 27, 2016

Registered at UNIVERSITY HEALTH CENTER, 4201 ST ANTOINE STE 5G, DETROIT, MI 48201 (Tel: 3137451731)

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Updated Business Mailing Address October 27, 2016

Registered at 1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 480831138 (Tel: 3137451731)

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Provider Name / Credentials Updated October 27, 2016

Recorded as MARK MARUNICK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2016

Dentist (License #2901011094 in MI)

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Initial NPI Registration & Enumeration June 02, 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: 1932147097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: October 27, 2016
Deactivation Date: June 30, 2020

Mailing Address

1560 E Maple Rd, Suite 400-Credentialing

Troy, MI 480831138

Phone: 3137451731

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.