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Deactivated NPI 1689778896 Deactivated / Inactive NPI Male Practitioner

Dr. John Michael Allen , DDS MPH

Dentist • Kissimmee, 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. John Allen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 08, 2006
NPI Deactivation Date December 19, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. John Allen, DDS MPH was a registered Dentist practicing in Kissimmee, FL. Throughout an active medical career spanning 18 years, Dr. Allen provided care at the practice location at 1875 BOGGY CREEK RD until profile deactivation on 2024-12-19.

Practice Location & Contact Primary Location

Practice Address

1875 Boggy Creek Rd

Kissimmee, FL 34744

Telephone 4073432000
Fax 4078926468
Associated Practice Facility / Clinic
🏢 Florida Department Of Health Facility NPI 1487629200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Kissimmee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
32 Specialists

Practicing in Kissimmee, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN11419

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Jennifer Pintado , DH

Dental Hygienist

NPI 1003830480
Dr. Aixa Garcia , MD

Family Medicine

NPI 1023195898

Doctor of Medicine (M.D.)

Dr. Thanh Thai , MD

Family Medicine

NPI 1053386698

Doctor of Medicine (M.D.)

Dr. Roger Ivey , DDS

Dentist - General Practice

NPI 1073532727

Doctor of Dental Surgery

Dr. Radu Clincea , MD

Internal Medicine - Infectious Disease

NPI 1144272295

Doctor of Medicine (M.D.)

Jennifer Wood , DH

Dental Hygienist

NPI 1164457248

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 December 19, 2024

Record deactivated on December 19, 2024

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Updated Practice Location July 31, 2018

Registered at 8968 SAVANNAH PARK, ORLANDO, FL 32819 (Tel: 4078761221)

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Updated Business Mailing Address July 31, 2018

Registered at 8968 SAVANNAH PARK, ORLANDO, FL 328194432 (Tel: 4078761221)

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Updated Practice Location June 07, 2018

Registered at 13275 W COLONIAL DR, WINTER GARDEN, FL 34787 (Tel: 4079058827)

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Updated Business Mailing Address June 07, 2018

Registered at 110 S WOODLAND ST, WINTER GARDEN, FL 347873546 (Tel: 4079058827)

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Provider Name / Credentials Updated June 07, 2018

Recorded as JOHN ALLEN, DDS, MPH

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 1875 BOGGY CREEK RD, KISSIMMEE, FL 34744 (Tel: 4073432000)

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Updated Business Mailing Address July 08, 2007

Registered at 1875 BOGGY CREEK RD, KISSIMMEE, FL 34744 (Tel: 4073432000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN ALLEN, DDS MPH

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

Dentist (License #DN11419 in FL)

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Initial NPI Registration & Enumeration September 08, 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: 1689778896
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2006
Last Update: July 08, 2007
Deactivation Date: December 19, 2024

Mailing Address

1875 Boggy Creek Rd

Kissimmee, FL 34744

Phone: 4073432000

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.