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Deactivated NPI 1104084755 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Lim Ngan , DDS

Dentist - General Practice • Newhall, 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. Mark Lim Ngan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2008
NPI Deactivation Date February 13, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Lim Ngan, DDS was a registered Dentist - General Practice practicing in Newhall, CA. Throughout an active medical career spanning 17 years, Dr. Ngan provided care at the practice location at 23033 LYONS AVE until profile deactivation on 2025-02-13.

Practice Location & Contact Primary Location

Practice Address

23033 Lyons Ave
Suite 5

Newhall, CA 913212727

Telephone 6612550400
Fax 6612550408
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Newhall, CA

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

Practicing in Newhall, 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 27468

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

1 Associated Practitioners
NPI 1740647890

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 13, 2025

Record deactivated on February 13, 2025

NPI Profile Active May 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 30, 2008

Registered at 23033 LYONS AVE, SUITE 5, NEWHALL, CA 913212727 (Tel: 6612550400)

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Updated Business Mailing Address May 30, 2008

Registered at 23033 LYONS AVE, SUITE 5, NEWHALL, CA 913212727 (Tel: 6612550400)

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Provider Name / Credentials Updated May 30, 2008

Recorded as MARK LIM NGAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2008

Dentist (License #27468 in CA)

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Initial NPI Registration & Enumeration May 30, 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: 1104084755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2008
Last Update: May 30, 2008
Deactivation Date: February 13, 2025

Mailing Address

23033 Lyons Ave, Suite 5

Newhall, CA 913212727

Phone: 6612550400

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.