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Deactivated NPI 1003947631 Deactivated / Inactive NPI Male Practitioner

Dr. Harry Douglas Peach , DDS

Dentist • Maple Heights, 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. Harry Peach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date November 13, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Harry Peach, DDS was a registered Dentist practicing in Maple Heights, OH. Throughout an active medical career spanning 12 years, Dr. Peach provided care at the practice location at 16481 BROADWAY AVE until profile deactivation on 2019-11-13.

Practice Location & Contact Primary Location

Practice Address

16481 Broadway Ave

Maple Heights, OH 441372658

Telephone 2166624224
Fax 2166626180

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Maple Heights, OH

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

Practicing in Maple Heights, 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 16104

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.

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 November 13, 2019

Record deactivated on November 13, 2019

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 16481 BROADWAY AVE, MAPLE HEIGHTS, OH 441372658 (Tel: 2166624224)

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Updated Business Mailing Address July 08, 2007

Registered at 16481 BROADWAY AVE, MAPLE HEIGHTS, OH 441372658 (Tel: 2166624224)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HARRY PEACH, DDS

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

Dentist (License #16104 in OH)

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Initial NPI Registration & Enumeration March 07, 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: 1003947631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: July 08, 2007
Deactivation Date: November 13, 2019

Mailing Address

16481 Broadway Ave

Maple Heights, OH 441372658

Phone: 2166624224

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.