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Deactivated NPI 1649426164 Deactivated / Inactive NPI Male Practitioner

C. Ted Roush

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

Registration / Start Date August 15, 2008
NPI Deactivation Date December 19, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

C. Roush was a registered Dentist - General Practice practicing in Lynchburg, OH. Throughout an active medical career spanning 9 years, C. Roush provided care at the practice location at 201 S. MAIN STREET until profile deactivation on 2017-12-19.

Practice Location & Contact Primary Location

Practice Address

201 S. Main Street

Lynchburg, OH 451420422

Telephone 9373642160

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lynchburg, OH

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

Practicing in Lynchburg, 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 12100

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 December 19, 2017

Record deactivated on December 19, 2017

NPI Profile Active August 15, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 15, 2008

Registered at 201 S. MAIN STREET, LYNCHBURG, OH 451420422 (Tel: 9373642160)

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Updated Business Mailing Address August 15, 2008

Registered at PO BOX 422, 201 S. MAIN STREET, LYNCHBURG, OH 451420422 (Tel: 9373642160)

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Provider Name / Credentials Updated August 15, 2008

Recorded as C. ROUSH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2008

Dentist (License #12100 in OH)

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Initial NPI Registration & Enumeration August 15, 2008

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: 1649426164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2008
Last Update: August 15, 2008
Deactivation Date: December 19, 2017

Mailing Address

Po Box 422, 201 S. Main Street

Lynchburg, OH 451420422

Phone: 9373642160

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.