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Deactivated NPI 1255538963 Deactivated / Inactive NPI Male Practitioner

Dr. .myron G Pavuk , DMD

Dentist • Blakely, PA

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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. .myron Pavuk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 27, 2007
NPI Deactivation Date March 07, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. .Myron Pavuk, DMD was a registered Dentist practicing in Blakely, PA. Throughout an active medical career spanning 11 years, Dr. Pavuk provided care at the practice location at 200 MAIN ST until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

200 Main St

Blakely, PA 184471241

Telephone 5704897577
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Blakely, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Blakely, PA (3554 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 PA DS014097L

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. Peter Pavuk , DMD

Dentist - General Practice

NPI 1023212826

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 March 07, 2018

Record deactivated on March 07, 2018

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 200 MAIN ST, BLAKELY, PA 184471241 (Tel: 5704897577)

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Updated Business Mailing Address July 08, 2007

Registered at 200 MAIN ST, BLAKELY, PA 184471241 (Tel: 5704897577)

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Provider Name / Credentials Updated July 08, 2007

Recorded as .MYRON PAVUK, D.M.D.

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

Dentist (License #DS014097L in PA)

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Initial NPI Registration & Enumeration June 27, 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: 1255538963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2007
Last Update: July 08, 2007
Deactivation Date: March 07, 2018

Mailing Address

200 Main St

Blakely, PA 184471241

Phone: 5704897577

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.