Dr. Jeff O Johnson , DDS
Dentist - General Practice • Fountain, CO
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. Jeff Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jeff Johnson, DDS was a registered Dentist - General Practice practicing in Fountain, CO. Throughout an active medical career spanning 18 years, Dr. Johnson provided care at the practice location at 200 PLAZA BLVD until profile deactivation on 2024-01-31.
Practice Location & Contact Primary Location
200 Plaza Blvd
Fountain, CO 808172504
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Fountain, CO
Practicing in Fountain, CO (2613 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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 31, 2024
NPI status registered as active in NPPES database
Registered at 200 PLAZA BLVD, FOUNTAIN, CO 808172504 (Tel: 7193924201)
Registered at 935 MARLSTONE PL, COLORADO SPRINGS, CO 809042986 (Tel: 7194751032)
Recorded as JEFF JOHNSON, DDS
Dentist (License #7123 in CO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
935 Marlstone Pl
Colorado Springs, CO 809042986
Phone: 7194751032
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.