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Deactivated NPI 1174653380 Deactivated / Inactive NPI Male Practitioner

Dr. Vagn Lindhardt , DMD

Dentist - General Practice • Orange Park, 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. Vagn Lindhardt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 06, 2007
NPI Deactivation Date May 21, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Vagn Lindhardt, DMD was a registered Dentist - General Practice practicing in Orange Park, FL. Throughout an active medical career spanning 12 years, Dr. Lindhardt provided care at the practice location at 1406 KINGSLEY AVE until profile deactivation on 2019-05-21.

Practice Location & Contact Primary Location

Practice Address

1406 Kingsley Ave
Suite A

Orange Park, FL 320734590

Telephone 9042692185
Fax 9042690938
Associated Practice Facility / Clinic
🏢 Hoffman Orthodontics Pa Facility NPI 1124402912

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
46 Specialists

Practicing in Orange Park, FL (7473 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 FL DN10332

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

1 Associated Practitioners
Dr. Hwang Marino , DMD

Dentist - General Practice

NPI 1285156083

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 21, 2019

Record deactivated on May 21, 2019

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 1406 KINGSLEY AVE, SUITE A, ORANGE PARK, FL 320734590 (Tel: 9042692185)

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Updated Business Mailing Address July 08, 2007

Registered at 1406 KINGSLEY AVE, SUITE A, ORANGE PARK, FL 320734590 (Tel: 9042692185)

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Provider Name / Credentials Updated July 08, 2007

Recorded as VAGN LINDHARDT, DMD

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

Dentist (License #DN10332 in FL)

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Initial NPI Registration & Enumeration March 06, 2007

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: 1174653380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: July 08, 2007
Deactivation Date: May 21, 2019

Mailing Address

1406 Kingsley Ave, Suite A

Orange Park, FL 320734590

Phone: 9042692185

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.