Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255364022 Deactivated / Inactive NPI Male Practitioner

Dr. L Carl Dejongh , DDS

Dentist - Endodontics • Bradenton, FL

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

Registration / Start Date July 07, 2006
NPI Deactivation Date July 23, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. L Dejongh, DDS was a registered Dentist - Endodontics practicing in Bradenton, FL. Throughout an active medical career spanning 20 years, Dr. Dejongh provided care at the practice location at 2111 59TH ST W until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

2111 59th St W

Bradenton, FL 342097015

Telephone 9417924166
Fax 9417925435
Associated Practice Facility / Clinic
🏢 David D. Fabre, Dds, Ms, Pa Facility NPI 1003953654

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Bradenton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Bradenton, FL (536 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL 5742

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Adam Strimer , DMD, MS

Dentist - Endodontics

NPI 1053460667

Doctor of Dental Medicine, Master of Science

Dr. David Fabre , DDS

Dentist - Endodontics

NPI 1407984214

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

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Updated Business Mailing Address January 18, 2017

Registered at 2111 59TH STREET WEST, BRADENTON, FL 34209 (Tel: 9417924166)

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Updated Practice Location January 18, 2017

Registered at 2111 59TH ST W, BRADENTON, FL 342097015 (Tel: 9417924166)

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Provider Name / Credentials Updated January 18, 2017

Recorded as LEON DE JONGH, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Dentist (License #5742 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2111 59TH ST W, BRADENTON, FL 342097015 (Tel: 9417924166)

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Updated Business Mailing Address July 08, 2007

Registered at 2111 59TH ST W, BRADENTON, FL 342097015 (Tel: 9417924166)

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Provider Name / Credentials Updated July 08, 2007

Recorded as L DEJONGH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5742 in FL)

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Initial NPI Registration & Enumeration July 07, 2006

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: 1255364022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: July 08, 2007
Deactivation Date: July 23, 2026

Mailing Address

2111 59th St W

Bradenton, FL 342097015

Phone: 9417924166

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.