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Deactivated NPI 1982742466 Deactivated / Inactive NPI Male Practitioner

Dr. Alphonso Faison , DDS

Dentist - Pediatric Dentistry • Compton, 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. Alphonso Faison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 05, 2007
NPI Deactivation Date February 28, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Alphonso Faison, DDS was a registered Dentist - Pediatric Dentistry practicing in Compton, CA. Throughout an active medical career spanning 17 years, Dr. Faison provided care at the practice location at 411 S LONG BEACH BLVD until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

411 S Long Beach Blvd

Compton, CA 902213427

Telephone 3105372217
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Compton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Compton, CA (1373 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 - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License CA 25252

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Vivienne Grant-Peart , DDS

Dentist - General Practice

NPI 1013100411

Doctor of Dental Surgery

Dr. Jari Faison , DDS

Dentist - Pediatric Dentistry

NPI 1831238005

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 February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active October 05, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2012

Registered at 411 S LONG BEACH BLVD, COMPTON, CA 902213427 (Tel: 3105372217)

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Updated Business Mailing Address October 05, 2012

Registered at 411 S LONG BEACH BLVD, COMPTON, CA 902213427 (Tel: 3105372217)

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Provider Name / Credentials Updated October 05, 2012

Recorded as ALPHONSO FAISON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2012

Dentist (License #25252 in CA)

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Initial NPI Registration & Enumeration February 05, 2007

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: 1982742466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2007
Last Update: October 05, 2012
Deactivation Date: February 28, 2024

Mailing Address

411 S Long Beach Blvd

Compton, CA 902213427

Phone: 3105372217

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.