Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1912012964 Deactivated / Inactive NPI Male Practitioner

Dr. John Wescott Stevens , DDS

Dentist - General Practice • Willmantic, CT

⚠️

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 Stevens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2006
NPI Deactivation Date May 24, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Stevens, DDS was a registered Dentist - General Practice practicing in Willmantic, CT. Throughout an active medical career spanning 17 years, Dr. Stevens provided care at the practice location at 1581 W MAIN ST until profile deactivation on 2023-05-24.

Practice Location & Contact Primary Location

Practice Address

1581 W Main St

Willmantic, CT 06226

Telephone 8604563214
Fax 8604561371
Associated Practice Facility / Clinic
🏢 John W Stevens Dds Pc Facility NPI 1053000505

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Willmantic, CT

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

Practicing in Willmantic, 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 04645

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

2 Associated Practitioners
NPI 1215601687

Doctor of Dental Medicine

NPI 1902064744

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated May 24, 2023

Record deactivated on May 24, 2023

NPI Profile Active March 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2013

Registered at 1581 W MAIN ST, WILLMANTIC, CT 06226 (Tel: 8604563214)

📍
Updated Business Mailing Address March 21, 2013

Registered at 1581 W MAIN ST, WILLMANTIC, CT 06226 (Tel: 8604563214)

👤
Provider Name / Credentials Updated March 21, 2013

Recorded as JOHN STEVENS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2013

Dentist (License #04645 in CT)

🟢
Initial NPI Registration & Enumeration August 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. John Stevens. Be the first to share your experience!

Sign in to leave a review for Dr. John Stevens

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1912012964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2006
Last Update: March 21, 2013
Deactivation Date: May 24, 2023

Mailing Address

1581 W Main St

Willmantic, CT 06226

Phone: 8604563214

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.