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Deactivated NPI 1609081462 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen Gale Roush , DDS

Dentist - General Practice • Lima, 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. Stephen Roush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 14, 2007
NPI Deactivation Date October 31, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Roush, DDS was a registered Dentist - General Practice practicing in Lima, OH. Throughout an active medical career spanning 10 years, Dr. Roush provided care at the practice location at 1702 ALLENTOWN ROAD until profile deactivation on 2017-10-31.

Practice Location & Contact Primary Location

Practice Address

1702 Allentown Road

Lima, OH 458051845

Telephone 4192272093
Fax 4192228763
Associated Practice Facility / Clinic
🏢 Ollom Community Dental, Llc Facility NPI 1871067504

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lima, OH

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

Practicing in Lima, 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 30.013560

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
Dr. Wesley Chan , DDS

Student in an Organized Health Care Education/Training Program

NPI 1568810224

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 October 31, 2017

Record deactivated on October 31, 2017

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 1702 ALLENTOWN ROAD, LIMA, OH 458051845 (Tel: 4192272093)

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Updated Business Mailing Address July 08, 2007

Registered at 1702 ALLENTOWN RD, LIMA, OH 458051845 (Tel: 4192272093)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN ROUSH, D.D.S.

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

Dentist (License #30.013560 in OH)

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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: 1609081462
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2007
Last Update: July 08, 2007
Deactivation Date: October 31, 2017

Mailing Address

1702 Allentown Rd

Lima, OH 458051845

Phone: 4192272093

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.