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Deactivated NPI 1821073057 Deactivated / Inactive NPI Male Practitioner

Dr. John G. Hedstrom , DDS

Specialist • Leominster, MA

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

Registration / Start Date December 09, 2005
NPI Deactivation Date August 10, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John Hedstrom, DDS was a registered Specialist practicing in Leominster, MA. Throughout an active medical career spanning 17 years, Dr. Hedstrom provided care at the practice location at 80 ERDMAN WAY until profile deactivation on 2022-08-10.

Practice Location & Contact Primary Location

Practice Address

80 Erdman Way
Suite 201

Leominster, MA 014531840

Telephone 9785348300
Fax 9788408508
Associated Practice Facility / Clinic
🏢 Womens Image Center Facility NPI 1417064486

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Leominster, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
13 Specialists

Practicing in Leominster, MA (1181 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 MA 11046

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

6 Associated Practitioners
NPI 1255315859

Doctor of Dental Surgery

Dr. Mikhail Kobakov , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1356784375

Doctor of Dental Medicine

Dr. James Connors Ii , DMD, MD

Dentist - Oral and Maxillofacial Surgery

NPI 1538143128

Doctor of Dental Medicine, Doctor of Medicine (M.D.)

NPI 1730163320

Doctor of Dental Medicine

Dr. Shant Baran , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1740455153

Doctor of Dental Medicine

NPI 1942284534

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 August 10, 2022

Record deactivated on August 10, 2022

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 80 ERDMAN WAY, SUITE 201, LEOMINSTER, MA 014531840 (Tel: 9785348300)

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Updated Business Mailing Address July 09, 2007

Registered at 80 ERDMAN WAY, SUITE 201, LEOMINSTER, MA 014531840 (Tel: 9785348300)

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Provider Name / Credentials Updated July 09, 2007

Recorded as JOHN HEDSTROM, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #11046 in MA)

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Initial NPI Registration & Enumeration December 09, 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: 1821073057
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2005
Last Update: July 09, 2007
Deactivation Date: August 10, 2022

Mailing Address

80 Erdman Way, Suite 201

Leominster, MA 014531840

Phone: 9785348300

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.