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Deactivated NPI 1457813206 Deactivated / Inactive NPI Male Practitioner

Dr. Mark A Tardugno , DDS

Dentist - General Practice • Clinton, NY

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

Registration / Start Date April 02, 2019
NPI Deactivation Date January 06, 2022
Total Practice Duration ~3 Years of Practice (2019 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Tardugno, DDS was a registered Dentist - General Practice practicing in Clinton, NY. Throughout an active medical career spanning 3 years, Dr. Tardugno provided care at the practice location at 6 E PARK ROW until profile deactivation on 2022-01-06.

Practice Location & Contact Primary Location

Practice Address

6 E Park Row

Clinton, NY 133231583

Telephone 3158532412
Associated Practice Facility / Clinic
🏢 Johnf Menard Dds Pc Facility NPI 1154445146

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clinton, NY

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

Practicing in Clinton, 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

CMS Verified: 2022-01-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 061054

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

1 Associated Practitioners
Dr. John Menard , DDS

Dentist - General Practice

NPI 1952317810

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location January 26, 2022

Registered at 6 E PARK ROW, CLINTON, NY 133231583 (Tel: 3158532412)

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Updated Business Mailing Address January 26, 2022

Registered at 6 E PARK ROW, CLINTON, NY 133231583 (Tel: 3158532412)

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Provider Name / Credentials Updated January 26, 2022

Recorded as MARK TARDUGNO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2022

Dentist (License #061054 in NY)

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NPI Profile Deactivated January 06, 2022

Record deactivated on January 06, 2022

NPI Profile Active April 02, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 02, 2019

Registered at 750 E ADAMS ST, SYRACUSE, NY 132102306 (Tel: 3154644148)

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Updated Business Mailing Address April 02, 2019

Registered at 1700 N MADISON ST, ROME, NY 134402404 (Tel: 3155254348)

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Provider Name / Credentials Updated April 02, 2019

Recorded as MARK TARDUGNO

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2019

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration April 02, 2019

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: 1457813206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2019
Last Update: January 26, 2022
Deactivation Date: January 06, 2022
Sole Proprietor: No

Mailing Address

6 E Park Row

Clinton, NY 133231583

Phone: 3158532412

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.