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Deactivated NPI 1275648404 Deactivated / Inactive NPI Male Practitioner

Dr. Jackson Lee Amason , DMD

Dentist - General Practice • Kennesaw, 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. Jackson Amason has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2006
NPI Deactivation Date December 04, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jackson Amason, DMD was a registered Dentist - General Practice practicing in Kennesaw, GA. Throughout an active medical career spanning 14 years, Dr. Amason provided care at the practice location at 2430 POWELL PL NW until profile deactivation on 2020-12-04.

Practice Location & Contact Primary Location

Practice Address

2430 Powell Pl Nw

Kennesaw, GA 301443567

Telephone 7704241705
Fax 7704291610
Associated Practice Facility / Clinic
🏢 Amason Family Dentistry Facility NPI 1679001630

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kennesaw, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
41 Specialists

Practicing in Kennesaw, 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 10385

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. David Hildreth , DMD

Dentist - General Practice

NPI 1073877825

Doctor of Dental Medicine

Career & Practice History Timeline

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

13 Historical Events
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NPI Profile Deactivated December 04, 2020

Record deactivated on December 04, 2020

NPI Profile Active November 06, 2017

NPI status registered as active in NPPES database

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Updated Practice Location November 06, 2017

Registered at 2430 POWELL PL NW, KENNESAW, GA 301443567 (Tel: 7704241705)

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Updated Business Mailing Address November 06, 2017

Registered at 7556 ISLAND MILL RD SE, ACWORTH, GA 301022651 (Tel: 7702959131)

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Provider Name / Credentials Updated November 06, 2017

Recorded as JACKSON AMASON, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2017

Dentist (License #10385 in GA)

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Updated Business Mailing Address January 12, 2017

Registered at 7556 ISLAND MILL RD SE, ACWORTH, GA 301022651 (Tel: 7702959131)

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 2430 POWELL PL NW, KENNESAW, GA 301443567 (Tel: 7704241705)

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Updated Business Mailing Address July 08, 2007

Registered at 5099 SCHOFIELD CT, POWDER SPRINGS, GA 301274362 (Tel: 6783550022)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACKSON AMASON, D.M.D.

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

Dentist (License #10385 in GA)

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Initial NPI Registration & Enumeration August 20, 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: 1275648404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2006
Last Update: July 08, 2007
Deactivation Date: December 04, 2020

Mailing Address

5099 Schofield Ct

Powder Springs, GA 301274362

Phone: 6783550022

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.