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Deactivated NPI 1790836096 Deactivated / Inactive NPI Male Practitioner

Dr. John Robert Roush , DDS

Dentist - General Practice • Lancaster, 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. John Roush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 15, 2007
NPI Deactivation Date May 24, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Roush, DDS was a registered Dentist - General Practice practicing in Lancaster, PA. Throughout an active medical career spanning 16 years, Dr. Roush provided care at the practice location at 1891 FRUITVILLE PIKE until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

1891 Fruitville Pike

Lancaster, PA 176014011

Telephone 7175696110
Fax 7175696433
Associated Practice Facility / Clinic
🏢 Donald I Fausnaught Inc Facility NPI 1780858001

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lancaster, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
84 Specialists

Practicing in Lancaster, PA (4936 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 PA DS025011-L

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Lawrence Coffin , DDS

Dentist - General Practice

NPI 1528251204

Doctor of Dental Surgery

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 May 24, 2023

Record deactivated on May 24, 2023

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 1891 FRUITVILLE PIKE, LANCASTER, PA 176014011 (Tel: 7175696110)

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Updated Business Mailing Address July 08, 2007

Registered at 1891 FRUITVILLE PIKE, LANCASTER, PA 176014011 (Tel: 7175696110)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN ROUSH, D.D.S

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

Dentist (License #DS025011-L in PA)

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Initial NPI Registration & Enumeration January 15, 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: 1790836096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2007
Last Update: July 08, 2007
Deactivation Date: May 24, 2023

Mailing Address

1891 Fruitville Pike

Lancaster, PA 176014011

Phone: 7175696110

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.