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Deactivated NPI 1568697001 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Eugene Bajuscak , DMD

Dentist • Broken Arrow, OK

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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. Ronald Bajuscak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2009
NPI Deactivation Date March 01, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Bajuscak, DMD was a registered Dentist practicing in Broken Arrow, OK. Throughout an active medical career spanning 14 years, Dr. Bajuscak provided care at the practice location at 19511 E 49TH ST S until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

19511 E 49th St S

Broken Arrow, OK 740141494

Telephone 5206091062

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
21 Specialists

Practicing in Broken Arrow, OK (1115 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 AZ D4632

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 March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active January 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 13, 2012

Registered at 19511 E 49TH ST S, BROKEN ARROW, OK 740141494 (Tel: 5206091062)

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Updated Business Mailing Address January 13, 2012

Registered at PO BOX 141046, BROKEN ARROW, OK 740140010 (Tel: 5206091062)

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Provider Name / Credentials Updated January 13, 2012

Recorded as RONALD BAJUSCAK, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2012

Dentist (License #D4632 in AZ)

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Initial NPI Registration & Enumeration May 28, 2009

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: 1568697001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2009
Last Update: January 13, 2012
Deactivation Date: March 01, 2023

Mailing Address

Po Box 141046

Broken Arrow, OK 740140010

Phone: 5206091062

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.