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Deactivated NPI 1497964555 Deactivated / Inactive NPI Male Practitioner

Dr. David Richard Pelok , DDS

Dentist - General Practice • Wauseon, 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. David Pelok has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2007
NPI Deactivation Date October 11, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. David Pelok, DDS was a registered Dentist - General Practice practicing in Wauseon, OH. Throughout an active medical career spanning 17 years, Dr. Pelok provided care at the practice location at 229 N FRANKLIN ST until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

229 N Franklin St

Wauseon, OH 435671265

Telephone 4193372391
Fax 4193350700
Associated Practice Facility / Clinic
🏢 Wauseon Dental Group L.l.c. Facility NPI 1003231994

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wauseon, OH

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

Practicing in Wauseon, 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 012735

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 October 11, 2024

Record deactivated on October 11, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 229 N FRANKLIN ST, WAUSEON, OH 435671265 (Tel: 4193372391)

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Updated Business Mailing Address July 09, 2007

Registered at 750 E LINFOOT ST, WAUSEON, OH 435671813 (Tel: 4193358466)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID PELOK, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #012735 in OH)

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Initial NPI Registration & Enumeration May 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: 1497964555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 09, 2007
Deactivation Date: October 11, 2024

Mailing Address

750 E Linfoot St

Wauseon, OH 435671813

Phone: 4193358466

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.