Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730178294 Individual Practitioner Male Practitioner

Dr. Peter Francis Indzonka , DMD

Dentist - General Practice • Albany, NY

Professional Overview & Biography Verified Profile Summary

Dr. Peter Indzonka, DMD is a registered healthcare professional specializing in Dentist - General Practice in Albany, NY. Practice services are available at 789 MADISON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

789 Madison Ave

Albany, NY 122083319

Telephone 5184630004

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albany, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
92 Specialists

Practicing in Albany, NY (8411 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 NY 040234-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01083132 (NY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 13, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2010

Registered at 789 MADISON AVE, ALBANY, NY 122083319 (Tel: 5184630004)

📍
Updated Business Mailing Address September 13, 2010

Registered at 789 MADISON AVE, ALBANY, NY 122083319 (Tel: 5184630004)

👤
Provider Name / Credentials Updated September 13, 2010

Recorded as PETER INDZONKA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2010

Dentist (License #040234-1 in NY)

🟢
Initial NPI Registration & Enumeration October 18, 2005

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: 1730178294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: September 13, 2010
Sole Proprietor: Yes

Mailing Address

789 Madison Ave

Albany, NY 122083319

Phone: 5184630004

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.