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Deactivated NPI 1407914419 Deactivated / Inactive NPI Male Practitioner

Dr. John David Craft , DMD

Dentist - General Practice • Paducah, KY

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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. John Craft has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2006
NPI Deactivation Date December 12, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Craft, DMD was a registered Dentist - General Practice practicing in Paducah, KY. Throughout an active medical career spanning 13 years, Dr. Craft provided care at the practice location at 2136 BROADWAY ST until profile deactivation on 2019-12-12.

Practice Location & Contact Primary Location

Practice Address

2136 Broadway St

Paducah, KY 420017110

Telephone 2704422310
Fax 2704422953

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Paducah, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Paducah, KY (1699 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 KY 2929

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. John Craft , DMD

Dentist - General Practice

NPI 1639237647

Doctor of Dental Medicine

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 December 12, 2019

Record deactivated on December 12, 2019

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 2136 BROADWAY ST, PADUCAH, KY 420017110 (Tel: 2704422310)

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Updated Business Mailing Address July 08, 2007

Registered at 2136 BROADWAY ST, PADUCAH, KY 420017110 (Tel: 2704422310)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN CRAFT, D.M.D.

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

Dentist (License #2929 in KY)

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Initial NPI Registration & Enumeration December 04, 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: 1407914419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: July 08, 2007
Deactivation Date: December 12, 2019

Mailing Address

2136 Broadway St

Paducah, KY 420017110

Phone: 2704422310

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.