Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1598881401 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph E Brock , DDS

Dentist • Warren, 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. Ralph Brock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2007
NPI Deactivation Date July 29, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Brock, DDS was a registered Dentist practicing in Warren, OH. Throughout an active medical career spanning 12 years, Dr. Brock provided care at the practice location at 4664 MAHONING AVE NW until profile deactivation on 2019-07-29.

Practice Location & Contact Primary Location

Practice Address

4664 Mahoning Ave Nw

Warren, OH 44483

Telephone 3308478122
Fax 3308563941
Associated Practice Facility / Clinic
🏢 John James Walsh, Dmd, Llc Facility NPI 1568593192

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Warren, OH

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

Practicing in Warren, 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 30010959

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. John Walsh, Jr. , DMD

Dentist - General Practice

NPI 1467655464

Doctor of Dental Medicine

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 July 29, 2019

Record deactivated on July 29, 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 4664 MAHONING AVE NW, WARREN, OH 44483 (Tel: 3308478122)

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Updated Business Mailing Address July 08, 2007

Registered at 4664 MAHONING AVE NW, WARREN, OH 44483 (Tel: 3308478122)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH BROCK, DDS

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

Dentist (License #30010959 in OH)

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Initial NPI Registration & Enumeration March 22, 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: 1598881401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: July 08, 2007
Deactivation Date: July 29, 2019

Mailing Address

4664 Mahoning Ave Nw

Warren, OH 44483

Phone: 3308478122

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.