Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184711871 Individual Practitioner Male Practitioner

Dr. Mark S Grucella , DDS

Dentist • Fairlawn, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mark Grucella, DDS is a registered healthcare professional specializing in Dentist in Fairlawn, OH. Practice services are available at 620 RIDGEWOOD XING under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

620 Ridgewood Xing
Suite K

Fairlawn, OH 443333531

Telephone 3307337911
Fax 3303765214
Associated Practice Facility / Clinic
🏢 Family Dental Team, Inc. Facility NPI 1205008828

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fairlawn, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Fairlawn, OH (2953 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 OH 30020854

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
2086808 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Lanny Cortez , DDS

Dentist - General Practice

NPI 1154617488

Doctor of Dental Surgery

NPI 1225446107

Doctor of Dental Medicine

NPI 1245327923

Doctor of Dental Surgery

NPI 1366523342

Doctor of Dental Surgery

NPI 1700239282

Doctor of Dental Medicine

NPI 1851488555

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 17, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2009

Registered at 620 RIDGEWOOD XING, SUITE K, FAIRLAWN, OH 443333531 (Tel: 3307337911)

📍
Updated Business Mailing Address August 17, 2009

Registered at 620 RIDGEWOOD XING, FAIRLAWN, OH 443333531 (Tel: 3307337911)

👤
Provider Name / Credentials Updated August 17, 2009

Recorded as MARK GRUCELLA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2009

Dentist (License #30020854 in OH)

🟢
Initial NPI Registration & Enumeration October 06, 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: 1184711871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: August 17, 2009
Sole Proprietor: No

Mailing Address

620 Ridgewood Xing

Fairlawn, OH 443333531

Phone: 3307337911

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.