Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1487779773 Deactivated / Inactive NPI Male Practitioner

Dr. Bruce R Jagor , 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. Bruce Jagor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 19, 2007
NPI Deactivation Date January 02, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Jagor, DDS was a registered Dentist - General Practice practicing in Atlanta, GA. Throughout an active medical career spanning 13 years, Dr. Jagor provided care at the practice location at 5555 PEACHTREE DUNWOODY RD NE until profile deactivation on 2020-01-02.

Practice Location & Contact Primary Location

Practice Address

5555 Peachtree Dunwoody Rd Ne
Suite G-90

Atlanta, GA 303421703

Telephone 4042562551
Fax 4042562557
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 DN005683

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. Thomas Jagor , DDS

Dentist - General Practice

NPI 1851416143

Doctor of Dental Surgery

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 January 02, 2020

Record deactivated on January 02, 2020

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 5555 PEACHTREE DUNWOODY RD NE, SUITE G-90, ATLANTA, GA 303421703 (Tel: 4042562551)

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Updated Business Mailing Address July 08, 2007

Registered at 5555 PEACHTREE DUNWOODY RD NE, SUITE G-90, ATLANTA, GA 303421703 (Tel: 4042562551)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRUCE JAGOR, D.D.S.

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

Dentist (License #DN005683 in GA)

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Initial NPI Registration & Enumeration March 19, 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: 1487779773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: July 08, 2007
Deactivation Date: January 02, 2020

Mailing Address

5555 Peachtree Dunwoody Rd Ne, Suite G-90

Atlanta, GA 303421703

Phone: 4042562551

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.