Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083773949 Deactivated / Inactive NPI Male Practitioner

Dr. John Winston Leavitt , DDS

Dentist - General Practice • Atlanta, GA

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

Registration / Start Date December 07, 2006
NPI Deactivation Date March 13, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. John Leavitt, DDS was a registered Dentist - General Practice practicing in Atlanta, GA. Throughout an active medical career spanning 11 years, Dr. Leavitt provided care at the practice location at 1155 HAMMOND DR NE until profile deactivation on 2017-03-13.

Practice Location & Contact Primary Location

Practice Address

1155 Hammond Dr Ne
Suite C-16

Atlanta, GA 303285320

Telephone 6789476077
Fax 6789478808
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
383 Specialists

Practicing in Atlanta, GA (3302 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 GA 6648

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. Jozef Soltis , DMD

Dentist - General Practice

NPI 1801934500

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 13, 2017

Record deactivated on March 13, 2017

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 1155 HAMMOND DR NE, SUITE C-16, ATLANTA, GA 303285320 (Tel: 6789476077)

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Updated Business Mailing Address July 08, 2007

Registered at 1155 HAMMOND DR NE, SUITE C-16, ATLANTA, GA 303285320 (Tel: 6789476077)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN LEAVITT, DDS

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

Dentist (License #6648 in GA)

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Initial NPI Registration & Enumeration December 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: 1083773949
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: July 08, 2007
Deactivation Date: March 13, 2017

Mailing Address

1155 Hammond Dr Ne, Suite C-16

Atlanta, GA 303285320

Phone: 6789476077

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.