Dr. Roger Phillip Rundbaken , DMD
Dentist - General Practice • Holmes, PA
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. Roger Rundbaken has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roger Rundbaken, DMD was a registered Dentist - General Practice practicing in Holmes, PA. Throughout an active medical career spanning 11 years, Dr. Rundbaken provided care at the practice location at 2183 MACDADE BLVD until profile deactivation on 2017-01-13.
Practice Location & Contact Primary Location
2183 Macdade Blvd
Holmes, PA 19043
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Holmes, PA
Practicing in Holmes, PA (4936 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on January 13, 2017
NPI status registered as active in NPPES database
Registered at 2183 MACDADE BLVD, HOLMES, PA 19043 (Tel: 6104616371)
Registered at 2183 MACDADE BLVD, HOLMES, PA 19043 (Tel: 6104616371)
Recorded as ROGER RUNDBAKEN, D.M.D.
Dentist (License #DS019696L in PA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2183 Macdade Blvd
Holmes, PA 19043
Phone: 6104616371
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