Dr. John Robert Davidson , DDS
Dentist - General Practice • Peru, IN
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 Davidson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Davidson, DDS was a registered Dentist - General Practice practicing in Peru, IN. Throughout an active medical career spanning 17 years, Dr. Davidson provided care at the practice location at 27 N PARK AVE until profile deactivation on 2025-08-07.
Practice Location & Contact Primary Location
27 N Park Ave
Peru, IN 469701718
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Peru, IN
Practicing in Peru, IN (2204 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 07, 2025
NPI status registered as active in NPPES database
Registered at 27 N PARK AVE, PERU, IN 469701718 (Tel: 7654754422)
Registered at 27 N PARK AVE, PERU, IN 469701718 (Tel: 7654754422)
Recorded as JOHN DAVIDSON, DDS
Dentist (License #12007226A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
27 N Park Ave
Peru, IN 469701718
Phone: 7654754422
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