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Deactivated NPI 1124249172 Deactivated / Inactive NPI Male Practitioner

Dr. Cyril A. Jendrisak , DDS

Dentist - General Practice • Munroe Falls, 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. Cyril Jendrisak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2007
NPI Deactivation Date September 11, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Cyril Jendrisak, DDS was a registered Dentist - General Practice practicing in Munroe Falls, OH. Throughout an active medical career spanning 18 years, Dr. Jendrisak provided care at the practice location at 323 SOUTH MAIN STREET until profile deactivation on 2025-09-11.

Practice Location & Contact Primary Location

Practice Address

323 South Main Street

Munroe Falls, OH 44262

Telephone 3306338821
Fax 3306338938

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Munroe Falls, OH

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

Practicing in Munroe Falls, 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 11614

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 September 11, 2025

Record deactivated on September 11, 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 323 SOUTH MAIN STREET, MUNROE FALLS, OH 44262 (Tel: 3306338821)

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Updated Business Mailing Address July 08, 2007

Registered at 1409 NORTHEAST AVENUE, TALLMADGE, OH 44278 (Tel: 3306337691)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CYRIL JENDRISAK, D.D.S.

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

Dentist (License #11614 in OH)

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Initial NPI Registration & Enumeration May 01, 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: 1124249172
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: July 08, 2007
Deactivation Date: September 11, 2025

Mailing Address

1409 Northeast Avenue

Tallmadge, OH 44278

Phone: 3306337691

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.