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Deactivated NPI 1831628148 Deactivated / Inactive NPI Male Practitioner

Dr. Thayne Joray Dawson , DMD

Dentist - General Practice • Wasilla, AK

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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. Thayne Dawson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2017
NPI Deactivation Date June 14, 2023
Total Practice Duration ~6 Years of Practice (2017 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Thayne Dawson, DMD was a registered Dentist - General Practice practicing in Wasilla, AK. Throughout an active medical career spanning 6 years, Dr. Dawson provided care at the practice location at 3719 E MERIDIAN LOOP STE B until profile deactivation on 2023-06-14.

Practice Location & Contact Primary Location

Practice Address

3719 E Meridian Loop Ste B

Wasilla, AK 996547273

Telephone 9073732440
Fax 9073731920
Associated Practice Facility / Clinic
🏢 Donald R Mclean Facility NPI 1982238622

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wasilla, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Wasilla, AK (346 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: 2023-07-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK 140965

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License MT DEN-DEN-LIC-13443

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. Donald Mclean , DDS

Dentist - General Practice

NPI 1093870859

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
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Updated Practice Location July 31, 2023

Registered at 3719 E MERIDIAN LOOP STE B, WASILLA, AK 996547273 (Tel: 9073732440)

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Updated Business Mailing Address July 31, 2023

Registered at 3719 E MERIDIAN LOOP STE B, WASILLA, AK 996547273 (Tel: 9073732440)

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Provider Name / Credentials Updated July 31, 2023

Recorded as THAYNE DAWSON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2023

Dentist (License #140965 in AK)

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NPI Profile Deactivated June 14, 2023

Record deactivated on June 14, 2023

NPI Profile Active July 17, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address July 17, 2017

Registered at 315 N. 25TH ST., STE. 101, BILLINGS, MT 591011328 (Tel: 4062486177)

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Updated Practice Location July 17, 2017

Registered at 315 N 25TH ST STE 101, BILLINGS, MT 591011328 (Tel: 4062486177)

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Provider Name / Credentials Updated July 17, 2017

Recorded as THAYNE DAWSON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2017

Dentist (License #DEN-DEN-LIC-13443 in MT)

NPI Profile Active June 08, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2017

Registered at 315 N 25TH ST STE 101, BILLINGS, MT 591011328 (Tel: 4062486177)

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Updated Business Mailing Address June 08, 2017

Registered at 2020 COOK AVE, BILLINGS, MT 591024927 (Tel: 2083516538)

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Provider Name / Credentials Updated June 08, 2017

Recorded as THAYNE DAWSON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2017

Dentist (License #DEN-DEN-LIC-13443 in MT)

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Initial NPI Registration & Enumeration June 08, 2017

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: 1831628148
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2017
Last Update: July 31, 2023
Deactivation Date: June 14, 2023
Sole Proprietor: No

Mailing Address

3719 E Meridian Loop Ste B

Wasilla, AK 996547273

Phone: 9073732440

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.