Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104266824 Deactivated / Inactive NPI Male Practitioner

Dr. Travis Edward Perry , DDS

Dentist • Moosic, 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. Travis Perry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 26, 2013
NPI Deactivation Date October 23, 2019
Total Practice Duration ~6 Years of Practice (2013 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Travis Perry, DDS was a registered Dentist practicing in Moosic, PA. Throughout an active medical career spanning 6 years, Dr. Perry provided care at the practice location at 502 CHURCH STREET until profile deactivation on 2019-10-23.

Practice Location & Contact Primary Location

Practice Address

502 Church Street

Moosic, PA 18507

Telephone 5703443500
Fax 5703449442
Associated Practice Facility / Clinic
🏢 Moosic Dental Group Inc Facility NPI 1316044431

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Moosic, PA

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

Practicing in Moosic, 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

CMS Verified: 2020-01-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS039537

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

11 Historical Events
📍
Updated Practice Location January 28, 2020

Registered at 502 CHURCH STREET, MOOSIC, PA 18507 (Tel: 5703443500)

📍
Updated Business Mailing Address January 28, 2020

Registered at 1401 S 31ST ST, FL 2, PHILADELPHIA, PA 191463506 (Tel: 2159252400)

👤
Provider Name / Credentials Updated January 28, 2020

Recorded as TRAVIS PERRY, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2020

Dentist (License #DS039537 in PA)

⚠️
NPI Profile Deactivated October 23, 2019

Record deactivated on October 23, 2019

NPI Profile Active June 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2013

Registered at 502 CHURCH STREET, MOOSIC, PA 18507 (Tel: 5703443500)

📍
Updated Business Mailing Address June 26, 2013

Registered at 20 PHILADELPHIA AVENUE APT 3, READING, PA 19607

👤
Provider Name / Credentials Updated June 26, 2013

Recorded as TRAVIS PERRY, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2013

Dentist (License #DS039537 in PA)

🟢
Initial NPI Registration & Enumeration June 26, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Travis Perry. Be the first to share your experience!

Sign in to leave a review for Dr. Travis Perry

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104266824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2013
Last Update: January 28, 2020
Deactivation Date: October 23, 2019
Sole Proprietor: No

Mailing Address

1401 S 31st St, Fl 2

Philadelphia, PA 191463506

Phone: 2159252400

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.