Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053671768 Individual Practitioner Male Practitioner

Dr. Jon Thaddeus Potocki , DDS

Dentist • Lexington, KY

Professional Overview & Biography Verified Profile Summary

Dr. Jon Potocki, DDS is a registered healthcare professional specializing in Dentist in Lexington, KY. Practice services are available at 800 ROSE ST RM D104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

800 Rose St Rm D104

Lexington, KY 405360297

Telephone 5172819452

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lexington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 54.0 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
147 Specialists

Practicing in Lexington, KY (1101 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 KY 9577

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Gitanjali Pinto-Sinai , DDS

Dentist - General Practice

NPI 1013077627

Doctor of Dental Surgery

Dr. Alfred Wiemann , DMD, MS

Dentist - Endodontics

NPI 1114129319

Doctor of Dental Medicine, Master of Science

NPI 1114364916

Doctor of Dental Medicine

Dr. Robert Frazer , DDS

Dentist - General Practice

NPI 1134228273

Doctor of Dental Surgery

Dr. Paula Caskey , DMD

Dentist - General Practice

NPI 1144351511

Doctor of Dental Medicine

Dr. John Wahle , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1184750010

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2017

Registered at 800 ROSE ST RM D104, LEXINGTON, KY 405360297 (Tel: 5172819452)

📍
Updated Business Mailing Address March 22, 2017

Registered at 800 ROSE ST RM D104, LEXINGTON, KY 405360297 (Tel: 5172819452)

👤
Provider Name / Credentials Updated March 22, 2017

Recorded as JON POTOCKI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2017

Dentist (License #9577 in KY)

NPI Profile Active May 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2012

Registered at 13053 ROEPKE RD, GREGORY, MI 481379711 (Tel: 5172819452)

📍
Updated Business Mailing Address May 29, 2012

Registered at 13053 ROEPKE RD, GREGORY, MI 481379711 (Tel: 5172819452)

👤
Provider Name / Credentials Updated May 29, 2012

Recorded as JON POTOCKI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2012

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 29, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jon Potocki. Be the first to share your experience!

Sign in to leave a review for Dr. Jon Potocki

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053671768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2012
Last Update: March 22, 2017
Sole Proprietor: No

Mailing Address

800 Rose St Rm D104

Lexington, KY 405360297

Phone: 5172819452

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.