Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1720052046 Deactivated / Inactive NPI Male Practitioner

Dr. Phillip P Macunovich , DDS

Dentist • Taylor, 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. Phillip Macunovich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2006
NPI Deactivation Date October 25, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Macunovich, DDS was a registered Dentist practicing in Taylor, MI. Throughout an active medical career spanning 17 years, Dr. Macunovich provided care at the practice location at 20302 EUREKA RD until profile deactivation on 2023-10-25.

Practice Location & Contact Primary Location

Practice Address

20302 Eureka Rd
Suite A

Taylor, MI 481805310

Telephone 7342835757
Fax 7342835863
Associated Practice Facility / Clinic
🏢 Oakcrest Dental Center, Pc Facility NPI 1336362391

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Taylor, MI

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

Practicing in Taylor, MI (3647 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901008690

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

2 Associated Practitioners
NPI 1770557092

Doctor of Dental Surgery

NPI 1831403856

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 25, 2023

Record deactivated on October 25, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 20302 EUREKA RD, SUITE A, TAYLOR, MI 481805310 (Tel: 7342835757)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1991 RIDGEVIEW, YPSILANTI, MI 481989515 (Tel: 7345470277)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP MACUNOVICH, DDS

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

Dentist (License #2901008690 in MI)

🟢
Initial NPI Registration & Enumeration February 14, 2006

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. Phillip Macunovich. Be the first to share your experience!

Sign in to leave a review for Dr. Phillip Macunovich

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

NPI Administrative Meta

NPI Number: 1720052046
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: July 08, 2007
Deactivation Date: October 25, 2023

Mailing Address

1991 Ridgeview

Ypsilanti, MI 481989515

Phone: 7345470277

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.