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Deactivated NPI 1073515995 Deactivated / Inactive NPI Male Practitioner

Dr. Carol H Johnson , DDS

Specialist • Augusta, ME

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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. Carol Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2005
NPI Deactivation Date January 26, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Carol Johnson, DDS was a registered Specialist practicing in Augusta, ME. Throughout an active medical career spanning 12 years, Dr. Johnson provided care at the practice location at 6 E CHESTNUT ST until profile deactivation on 2017-01-26.

Practice Location & Contact Primary Location

Practice Address

6 E Chestnut St

Augusta, ME 043305717

Telephone 2076221959
Fax 2076221959
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Augusta, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Augusta, ME (267 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ME 3586

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

38 Associated Practitioners
Dr. Dag Holmsen , MD

Anesthesiology

NPI 1003862046

Doctor of Medicine (M.D.)

Stacey Dostie , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013251941

Certified Registered Nurse Anesthetist

Vanessa Railton , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023488616

Certified Registered Nurse Anesthetist

Elisha Coppens , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043631757

Certified Registered Nurse Anesthetist

Dr. Jason Wyse , MD

Anesthesiology

NPI 1093906786

Doctor of Medicine (M.D.)

Sharon Paradis , CRNA

Nurse Anesthetist, Certified Registered

NPI 1114156270

Certified Registered Nurse Anesthetist

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 January 26, 2017

Record deactivated on January 26, 2017

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 6 E CHESTNUT ST, AUGUSTA, ME 043305717 (Tel: 2076221959)

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Updated Business Mailing Address July 08, 2007

Registered at 6 E CHESTNUT ST, AUGUSTA, ME 043305717 (Tel: 2076221959)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CAROL JOHNSON, DDS

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

Specialist (License #3586 in ME)

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Initial NPI Registration & Enumeration August 11, 2005

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: 1073515995
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2005
Last Update: July 08, 2007
Deactivation Date: January 26, 2017

Mailing Address

6 E Chestnut St

Augusta, ME 043305717

Phone: 2076221959

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.