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Deactivated NPI 1619272549 Deactivated / Inactive NPI Male Practitioner

Dr. William T Mahon , DDS

Dentist - General Practice • Springdale, AR

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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. William Mahon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2011
NPI Deactivation Date September 27, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. William Mahon, DDS was a registered Dentist - General Practice practicing in Springdale, AR. Throughout an active medical career spanning 12 years, Dr. Mahon provided care at the practice location at 614 E EMMA AVE until profile deactivation on 2023-09-27.

Practice Location & Contact Primary Location

Practice Address

614 E Emma Ave
Suite 300

Springdale, AR 727644634

Telephone 4797517417
Fax 4797514898
Associated Practice Facility / Clinic
🏢 St. Francis House Nwa, Inc. Facility NPI 1699785089

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springdale, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Springdale, AR (909 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 AR L3-0134

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

40 Associated Practitioners
Dr. Grant Oserowsky , DDS

Dentist - General Practice

NPI 1003392218

Doctor of Dental Surgery

Scarlett Grandy , CNM, WHNP

Advanced Practice Midwife

NPI 1013459981

Certified Nurse Midwife, Women's Health Nurse Practitioner

Kelsey Camp

Nurse Practitioner - Family

NPI 1023431749
NPI 1053556332

Doctor of Medicine (M.D.)

Mandy Clark , APRN

Nurse Practitioner - Pediatrics

NPI 1104426261

Advanced Practice Registered Nurse

Joshua Deal , FNP-C

Nurse Practitioner - Primary Care

NPI 1104433341

Family Nurse Practitioner (Certified)

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 27, 2023

Record deactivated on September 27, 2023

NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2011

Registered at 614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 727644634 (Tel: 4797517417)

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Updated Business Mailing Address January 25, 2011

Registered at 614 E EMMA AVE, SUITE 300, SPRINGDALE, AR 727644634 (Tel: 4797517417)

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Provider Name / Credentials Updated January 25, 2011

Recorded as WILLIAM MAHON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Dentist (License #L3-0134 in AR)

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Initial NPI Registration & Enumeration January 25, 2011

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: 1619272549
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2011
Last Update: January 25, 2011
Deactivation Date: September 27, 2023

Mailing Address

614 E Emma Ave, Suite 300

Springdale, AR 727644634

Phone: 4797517417

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.