Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336141068 Individual Practitioner Male Practitioner

Dr. John M Johnson , DDS

Dentist - General Practice • Groton, CT

Professional Overview & Biography Verified Profile Summary

Dr. John Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Groton, CT. Practice services are available at 643 GOLD STAR HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

643 Gold Star Hwy

Groton, CT 063406267

Telephone 8604458569
Fax 8604461890
Associated Practice Facility / Clinic
🏢 John M Johnson Dds Pc Facility NPI 1235269689

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Groton, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Groton, CT (1821 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 CT 6800

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

3 Associated Practitioners
J Tiberii

Dentist - General Practice

NPI 1063512853
Mildred Goebel

Dentist - General Practice

NPI 1144320235
Donna Sanfilippo

Dentist - General Practice

NPI 1487754628

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 30, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2009

Registered at 643 GOLD STAR HWY, GROTON, CT 063406267 (Tel: 8604458569)

📍
Updated Business Mailing Address June 30, 2009

Registered at 643 GOLD STAR HWY, GROTON, CT 063406267 (Tel: 8604458569)

👤
Provider Name / Credentials Updated June 30, 2009

Recorded as JOHN JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2009

Dentist (License #6800 in CT)

🟢
Initial NPI Registration & Enumeration August 12, 2005

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: 1336141068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2005
Last Update: June 30, 2009
Sole Proprietor: Yes

Mailing Address

643 Gold Star Hwy

Groton, CT 063406267

Phone: 8604458569

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.