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Deactivated NPI 1669645834 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Mahan , DDS

Dentist • Sarasota, 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. Jeffrey Mahan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 09, 2008
NPI Deactivation Date March 06, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Mahan, DDS was a registered Dentist practicing in Sarasota, FL. Throughout an active medical career spanning 17 years, Dr. Mahan provided care at the practice location at 1920 S TUTTLE AVE until profile deactivation on 2025-03-06.

Practice Location & Contact Primary Location

Practice Address

1920 S Tuttle Ave

Sarasota, FL 34239

Telephone 9413668882
Fax 9413650432
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Sarasota, FL

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

Practicing in Sarasota, 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 DN4361

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

1 Associated Practitioners
Dr. Charles Elwell , DMD

Dentist - General Practice

NPI 1053835017

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 March 06, 2025

Record deactivated on March 06, 2025

NPI Profile Active April 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 09, 2008

Registered at 1920 S TUTTLE AVE, SARASOTA, FL 34239 (Tel: 9413668882)

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Updated Business Mailing Address April 09, 2008

Registered at 1920 SOUTH TUTTLE AVENUE, SARASOTA, FL 34239 (Tel: 9413668882)

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Provider Name / Credentials Updated April 09, 2008

Recorded as JEFFREY MAHAN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2008

Dentist (License #DN4361 in FL)

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Initial NPI Registration & Enumeration April 09, 2008

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: 1669645834
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2008
Last Update: April 09, 2008
Deactivation Date: March 06, 2025

Mailing Address

1920 South Tuttle Avenue

Sarasota, FL 34239

Phone: 9413668882

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.