Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER JOHN DEMARCO JR., DDS
DeactivatedDR. PETER JOHN DEMARCO JR., DDS is a Dentist healthcare provider located in EDEN, New York. NPI 1922095355 is deactivated in the NPPES registry. Verify at CMS.
Dentist · EDEN, NY
This NPI has been deactivated.
The record was deactivated on May 14, 2014.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1922095355
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2005 (8.6191780821918 yrs)
- Last Updated
- May 28, 2014
- Deactivated
- May 14, 2014
- License
-
040945 (NY)
Practice Information
- Address
-
3122 KULP RD.EDEN, NY, 14057Browse NY providers · Browse ZIP 14057
- Phone
- 7165754108
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in EDEN, NY
| Name | Credential | NPI |
|---|---|---|
| JAMES GARY STOLL | — | 1588726046 |
| DR. FRANKLIN HICKMAN MEYER | D.D.S. | 1831382308 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.