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Deactivated NPI 1508970906 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald P Mancuso , DDS

Dentist - General Practice • Columbus, NE

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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. Gerald Mancuso has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2006
NPI Deactivation Date July 14, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Mancuso, DDS was a registered Dentist - General Practice practicing in Columbus, NE. Throughout an active medical career spanning 16 years, Dr. Mancuso provided care at the practice location at 2921 13TH STREET until profile deactivation on 2022-07-14.

Practice Location & Contact Primary Location

Practice Address

2921 13th Street

Columbus, NE 686014829

Telephone 4025647180
Fax 4025647042
Associated Practice Facility / Clinic
🏢 Stephen J Mancuso Dds Pc Facility NPI 1407736234

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Columbus, NE (832 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 NE 3359

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Joseph Quattrocchi , DDS

Dentist - General Practice

NPI 1083728489

Doctor of Dental Surgery

Dr. Stephen Mancuso , DDS

Dentist - General Practice

NPI 1801900295

Doctor of Dental Surgery

Dr. Stephen Mancuso , DDS

Dentist - General Practice

NPI 1851280978

Doctor of Dental Surgery

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 14, 2022

Record deactivated on July 14, 2022

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 2921 13TH STREET, COLUMBUS, NE 686014829 (Tel: 4025647180)

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Updated Business Mailing Address July 08, 2007

Registered at 2921 13TH STREET, COLUMBUS, NE 686014829 (Tel: 4025647180)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD MANCUSO, DDS

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

Dentist (License #3359 in NE)

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Initial NPI Registration & Enumeration August 19, 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: 1508970906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: July 08, 2007
Deactivation Date: July 14, 2022

Mailing Address

2921 13th Street

Columbus, NE 686014829

Phone: 4025647180

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.