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Deactivated NPI 1518162197 Deactivated / Inactive NPI Male Practitioner

Dr. Peter M Mazzeo , DDS DOCTOR OF DENTAL

Dentist - General Practice • Brunswick, OH

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

Registration / Start Date June 15, 2007
NPI Deactivation Date January 30, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Peter Mazzeo, DDS DOCTOR OF DENTAL was a registered Dentist - General Practice practicing in Brunswick, OH. Throughout an active medical career spanning 18 years, Dr. Mazzeo provided care at the practice location at 1026 PEARL ROAD until profile deactivation on 2025-01-30.

Practice Location & Contact Primary Location

Practice Address

1026 Pearl Road
Suites 1 & 2

Brunswick, OH 44212

Telephone 3302255676
Fax 3302251567

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brunswick, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Brunswick, OH (4287 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 OH 12708

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.

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 January 30, 2025

Record deactivated on January 30, 2025

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 1026 PEARL ROAD, SUITES 1 & 2, BRUNSWICK, OH 44212 (Tel: 3302255676)

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Updated Business Mailing Address July 08, 2007

Registered at 1026 PEARL ROAD, SUITES 1 & 2, BRUNSWICK, OH 44212 (Tel: 3302255676)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PETER MAZZEO, DDS DOCTOR OF DENTAL

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

Dentist (License #12708 in OH)

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Initial NPI Registration & Enumeration June 15, 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: 1518162197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2007
Last Update: July 08, 2007
Deactivation Date: January 30, 2025

Mailing Address

1026 Pearl Road, Suites 1 & 2

Brunswick, OH 44212

Phone: 3302255676

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.