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Deactivated NPI 1245212513 Deactivated / Inactive NPI Male Practitioner

Dr. Jerome Sanford Kustin , DDS

Dentist - General Practice • Parma, 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. Jerome Kustin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2005
NPI Deactivation Date February 24, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Kustin, DDS was a registered Dentist - General Practice practicing in Parma, OH. Throughout an active medical career spanning 15 years, Dr. Kustin provided care at the practice location at 7441 W RIDGEWOOD DR until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

7441 W Ridgewood Dr
Suite 231

Parma, OH 441295544

Telephone 4408860277
Fax 4408862611

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Parma, OH

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

Practicing in Parma, 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 12902

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. Eric Gordon , DDS

Dentist - Pediatric Dentistry

NPI 1164636528

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 February 24, 2020

Record deactivated on February 24, 2020

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 7441 W RIDGEWOOD DR, SUITE 231, PARMA, OH 441295544 (Tel: 4408860277)

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Updated Business Mailing Address July 08, 2007

Registered at 7441 W RIDGEWOOD DR, SUITE 231, PARMA, OH 441295544 (Tel: 4408860277)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JEROME KUSTIN, D.D.S.

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

Dentist (License #12902 in OH)

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Initial NPI Registration & Enumeration November 14, 2005

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: 1245212513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: July 08, 2007
Deactivation Date: February 24, 2020

Mailing Address

7441 W Ridgewood Dr, Suite 231

Parma, OH 441295544

Phone: 4408860277

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.