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Deactivated NPI 1114059102 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Clifford Roback , DDS

Dentist - General Practice • Utica, 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. Robert Roback has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 12, 2007
NPI Deactivation Date September 18, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Roback, DDS was a registered Dentist - General Practice practicing in Utica, NY. Throughout an active medical career spanning 17 years, Dr. Roback provided care at the practice location at 286 GENESEE ST until profile deactivation on 2024-09-18.

Practice Location & Contact Primary Location

Practice Address

286 Genesee St

Utica, NY 135024639

Telephone 3157240606
Associated Practice Facility / Clinic
🏢 The Dental Arts Office Facility NPI 1760569867

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Utica, NY

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

Practicing in Utica, 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 20896

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
NPI 1285776856

Doctor of Dental Surgery

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 September 18, 2024

Record deactivated on September 18, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 286 GENESEE ST, UTICA, NY 135024639 (Tel: 3157240606)

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Updated Business Mailing Address July 08, 2007

Registered at 60 NOB RD, UTICA, NY 135015520 (Tel: 3157321679)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT ROBACK, DDS

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

Dentist (License #20896 in NY)

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Initial NPI Registration & Enumeration March 12, 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: 1114059102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 08, 2007
Deactivation Date: September 18, 2024

Mailing Address

60 Nob Rd

Utica, NY 135015520

Phone: 3157321679

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.