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Deactivated NPI 1124345855 Deactivated / Inactive NPI Male Practitioner

Dr. Kent Marcus Madsen , DDS

Dentist - General Practice • Acton, CA

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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. Kent Madsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2010
NPI Deactivation Date May 15, 2019
Total Practice Duration ~9 Years of Practice (2010 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Kent Madsen, DDS was a registered Dentist - General Practice practicing in Acton, CA. Throughout an active medical career spanning 9 years, Dr. Madsen provided care at the practice location at 3626 SMITH AVE until profile deactivation on 2019-05-15.

Practice Location & Contact Primary Location

Practice Address

3626 Smith Ave

Acton, CA 935102500

Telephone 6612690097

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Acton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Acton, CA (18734 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 CA 019116

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.

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 May 15, 2019

Record deactivated on May 15, 2019

NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 17, 2012

Registered at 3626 SMITH AVE, ACTON, CA 935102500 (Tel: 6612690097)

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Updated Business Mailing Address September 17, 2012

Registered at 3626 SMITH AVE, ACTON, CA 935102500 (Tel: 6612690097)

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Provider Name / Credentials Updated September 17, 2012

Recorded as KENT MADSEN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Dentist (License #019116 in CA)

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Initial NPI Registration & Enumeration April 20, 2010

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: 1124345855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2010
Last Update: September 17, 2012
Deactivation Date: May 15, 2019

Mailing Address

3626 Smith Ave

Acton, CA 935102500

Phone: 6612690097

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.