Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1720294374 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome S Daniel , DDS

Dentist • Fort Drum, 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. Jerome Daniel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 14, 2007
NPI Deactivation Date May 01, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Daniel, DDS was a registered Dentist practicing in Fort Drum, NY. Throughout an active medical career spanning 18 years, Dr. Daniel provided care at the practice location at 10590 ENDURING FREEDOM DRIVE until profile deactivation on 2025-05-01.

Practice Location & Contact Primary Location

Practice Address

10590 Enduring Freedom Drive
Us Army Dental Activity

Fort Drum, NY 136025005

Telephone 3157726234
Fax 3157743558
Associated Practice Facility / Clinic
🏢 Guthrie Ahc Facility NPI 1740486091

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Drum, NY

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

Practicing in Fort Drum, 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 039014-1

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

35 Associated Practitioners
NPI 1033568720

DENTALASSISTANTEFDA

NPI 1073961702

DENTALHYGIENIST

Dr. Donald Cole , DDS

Dentist - General Practice

NPI 1104817113

Doctor of Dental Surgery

NPI 1114376803

DENTALASSISTANTEFDA

NPI 1144653320

Doctor of Dental Surgery

NPI 1285030775

Doctor of Dental Medicine

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 May 01, 2025

Record deactivated on May 01, 2025

NPI Profile Active September 26, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 26, 2012

Registered at 10590 ENDURING FREEDOM DRIVE, US ARMY DENTAL ACTIVITY, FORT DRUM, NY 136025005 (Tel: 3157726234)

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Updated Business Mailing Address September 26, 2012

Registered at 10590 ENDURING FREEDOM DRIVE, US ARMY DENTAL ACTIVITY, FORT DRUM, NY 136025005 (Tel: 3157726234)

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Provider Name / Credentials Updated September 26, 2012

Recorded as JEROME DANIEL, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2012

Dentist (License #039014-1 in NY)

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Initial NPI Registration & Enumeration May 14, 2007

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: 1720294374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2007
Last Update: September 26, 2012
Deactivation Date: May 01, 2025

Mailing Address

10590 Enduring Freedom Drive, Us Army Dental Activity

Fort Drum, NY 136025005

Phone: 3157726234

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.