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Deactivated NPI 1003085341 Deactivated / Inactive NPI Male Practitioner

Dr. Sungil Ahn , DDS

Dentist • Tempe, AZ

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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. Sungil Ahn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2008
NPI Deactivation Date September 12, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Sungil Ahn, DDS was a registered Dentist practicing in Tempe, AZ. Throughout an active medical career spanning 14 years, Dr. Ahn provided care at the practice location at 2072 E SOUTHERN AVE until profile deactivation on 2022-09-12.

Practice Location & Contact Primary Location

Practice Address

2072 E Southern Ave
#a101

Tempe, AZ 852827595

Telephone 4804915000
Fax 4804915993
Associated Practice Facility / Clinic
🏢 Michael S Ahn Dds Pc Facility NPI 1477563237

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tempe, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
51 Specialists

Practicing in Tempe, AZ (1999 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 4244

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

2 Associated Practitioners
Dr. Valentina Leonett Serrano , DMD

Dentist - General Practice

NPI 1033857164

Doctor of Dental Medicine

Dr. Shunyu Nieh , DDS

Dentist - General Practice

NPI 1972507333

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 September 12, 2022

Record deactivated on September 12, 2022

NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2008

Registered at 2072 E SOUTHERN AVE, #A101, TEMPE, AZ 852827595 (Tel: 4804915000)

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Updated Business Mailing Address February 20, 2008

Registered at 2072 E SOUTHERN AVE, #A101, TEMPE, AZ 852827595 (Tel: 4804915000)

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Provider Name / Credentials Updated February 20, 2008

Recorded as SUNGIL AHN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Dentist (License #4244 in AZ)

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Initial NPI Registration & Enumeration February 20, 2008

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: 1003085341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2008
Last Update: February 20, 2008
Deactivation Date: September 12, 2022

Mailing Address

2072 E Southern Ave, #a101

Tempe, AZ 852827595

Phone: 4804915000

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.