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Deactivated NPI 1922095355 Deactivated / Inactive NPI Male Practitioner

Dr. Peter John Demarco , DDS

Dentist • Eden, 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. Peter Demarco has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2005
NPI Deactivation Date May 14, 2014
Total Practice Duration ~9 Years of Practice (2005 – 2014)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Demarco, DDS was a registered Dentist practicing in Eden, NY. Throughout an active medical career spanning 9 years, Dr. Demarco provided care at the practice location at 3122 KULP RD. until profile deactivation on 2014-05-14.

Practice Location & Contact Primary Location

Practice Address

3122 Kulp Rd.

Eden, NY 14057

Telephone 7165754108

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Eden, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Eden, NY (6355 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 NY 040945

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
01095514 (NY)

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 Reactivated May 28, 2014

Record officially reactivated for active practice on May 28, 2014

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Updated Practice Location May 28, 2014

Registered at 3122 KULP RD., EDEN, NY 14057 (Tel: 7165754108)

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Updated Business Mailing Address May 28, 2014

Registered at 3122 KULP RD., EDEN, NY 14057 (Tel: 7165754108)

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Provider Name / Credentials Updated May 28, 2014

Recorded as PETER DEMARCO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2014

Dentist (License #040945 in NY)

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NPI Profile Deactivated May 14, 2014

Record deactivated on May 14, 2014

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Initial NPI Registration & Enumeration September 30, 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: 1922095355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2005
Last Update: May 28, 2014
Deactivation Date: May 14, 2014
Sole Proprietor: No

Mailing Address

3122 Kulp Rd.

Eden, NY 14057

Phone: 7165754108

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.