Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174623359 Individual Practitioner Male Practitioner

Dr. James G Mruk , DDS

Dentist • Randolph, NY

Professional Overview & Biography Verified Profile Summary

Dr. James Mruk, DDS is a registered healthcare professional specializing in Dentist in Randolph, NY. Practice services are available at 11 SCHOOL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11 School St

Randolph, NY 147721103

Telephone 7163586001
Fax 7163586011

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Randolph, NY

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

Practicing in Randolph, 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 26075

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
00981902 (NY)
Commercial Insurance / Payer ID Child Health Care Plus
000770077001 (NY)
Commercial Insurance / Payer ID United Concordia Ins
584157 (NY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11 SCHOOL ST, RANDOLPH, NY 147721103 (Tel: 7163586001)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11 SCHOOL ST, RANDOLPH, NY 147721103 (Tel: 7163586001)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES MRUK, DDS

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

Dentist (License #26075 in NY)

🟢
Initial NPI Registration & Enumeration September 25, 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: 1174623359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

11 School St

Randolph, NY 147721103

Phone: 7163586001

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.