Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1861985574 Deactivated / Inactive NPI Male Practitioner

Dr. Brent David Johnson , DMD

Dentist • Mcdonough, 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. Brent Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2018
NPI Deactivation Date June 16, 2019
Total Practice Duration ~1 Years of Practice (2018 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Brent Johnson, DMD was a registered Dentist practicing in Mcdonough, GA. Throughout an active medical career spanning 1 years, Dr. Johnson provided care at the practice location at 70 WESTRIDGE PKWY STE 200 until profile deactivation on 2019-06-16.

Practice Location & Contact Primary Location

Practice Address

70 Westridge Pkwy Ste 200

Mcdonough, GA 302533048

Telephone 6785830330
Fax 6785830660
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mcdonough, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
14 Specialists

Practicing in Mcdonough, GA (2164 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 GA DN015686

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.

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location July 23, 2019

Registered at 70 WESTRIDGE PKWY STE 200, MCDONOUGH, GA 302533048 (Tel: 6785830330)

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Updated Business Mailing Address July 23, 2019

Registered at 70 WESTRIDGE PKWY STE 200, MCDONOUGH, GA 302533048 (Tel: 6785830330)

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Provider Name / Credentials Updated July 23, 2019

Recorded as BRENT JOHNSON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2019

Dentist (License #DN015686 in GA)

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NPI Profile Deactivated June 16, 2019

Record deactivated on June 16, 2019

NPI Profile Active June 08, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 08, 2018

Registered at 123 HENDERSONVILLE RD, ASHEVILLE, NC 288032868 (Tel: 8282524290)

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Updated Business Mailing Address June 08, 2018

Registered at 123 HENDERSONVILLE RD, ASHEVILLE, NC 288032868 (Tel: 8282524290)

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Provider Name / Credentials Updated June 08, 2018

Recorded as BRENT JOHNSON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2018

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration June 08, 2018

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: 1861985574
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2018
Last Update: July 23, 2019
Deactivation Date: June 16, 2019
Sole Proprietor: No

Mailing Address

70 Westridge Pkwy Ste 200

Mcdonough, GA 302533048

Phone: 6785830330

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.