Dr. Jack Chacron Goon , JACK GOON BS, DDS
Dentist - General Practice • Walnut Creek, CA
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. Jack Goon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Goon, JACK GOON BS, DDS was a registered Dentist - General Practice practicing in Walnut Creek, CA. Throughout an active medical career spanning 7 years, Dr. Goon provided care at the practice location at 1575 TREAT BLVD until profile deactivation on 2017-10-18.
Practice Location & Contact Primary Location
1575 Treat Blvd
Suite 115
Walnut Creek, CA 945981048
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Walnut Creek, CA
Practicing in Walnut Creek, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - Periodontics
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 18, 2017
NPI status registered as active in NPPES database
Registered at 1575 TREAT BLVD, SUITE 115, WALNUT CREEK, CA 945981048 (Tel: 9259347476)
Registered at 1325 SUGARLOAF DR, ALAMO, CA 945071238 (Tel: 9259347476)
Recorded as JACK GOON, JACK GOON B.S. ,DDS
Dentist (License #19076 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1325 Sugarloaf Dr
Alamo, CA 945071238
Phone: 9259347476
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