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Deactivated NPI 1699812107 Deactivated / Inactive NPI Male Practitioner

Dr. John Larry Dabroi , DDS

Dentist - General Practice • Mount Shasta, 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. John Dabroi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007
NPI Deactivation Date June 19, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. John Dabroi, DDS was a registered Dentist - General Practice practicing in Mount Shasta, CA. Throughout an active medical career spanning 17 years, Dr. Dabroi provided care at the practice location at 1104 DAVIS PLACE RD until profile deactivation on 2024-06-19.

Practice Location & Contact Primary Location

Practice Address

1104 Davis Place Rd

Mount Shasta, CA 960679734

Telephone 5309262698

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mount Shasta, CA

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

Practicing in Mount Shasta, 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 17264

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 June 19, 2024

Record deactivated on June 19, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1104 DAVIS PLACE RD, MOUNT SHASTA, CA 960679734 (Tel: 5309262698)

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Updated Business Mailing Address July 08, 2007

Registered at 1104 DAVIS PLACE RD, MOUNT SHASTA, CA 960679734 (Tel: 5309262698)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DABROI, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #17264 in CA)

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Initial NPI Registration & Enumeration January 31, 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: 1699812107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 08, 2007
Deactivation Date: June 19, 2024

Mailing Address

1104 Davis Place Rd

Mount Shasta, CA 960679734

Phone: 5309262698

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.