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Deactivated NPI 1003030982 Deactivated / Inactive NPI Male Practitioner

Dr. John D Mitsch , DMD

Dentist • Weymouth, 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 Mitsch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 12, 2007
NPI Deactivation Date August 28, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. John Mitsch, DMD was a registered Dentist practicing in Weymouth, MA. Throughout an active medical career spanning 17 years, Dr. Mitsch provided care at the practice location at 130 BROAD ST until profile deactivation on 2024-08-28.

Practice Location & Contact Primary Location

Practice Address

130 Broad St

Weymouth, MA 021882337

Telephone 7813351576
Fax 7813358401
Associated Practice Facility / Clinic
🏢 Weymouth Dental Associates Facility NPI 1750505632

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Weymouth, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
16 Specialists

Practicing in Weymouth, MA (3030 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 MA 11473

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1770815425

Doctor of Dental Surgery

Dr. Paula Wolfert , DMD

Dentist - General Practice

NPI 1891874459

Doctor of Dental Medicine

NPI 1992929863

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 28, 2024

Record deactivated on August 28, 2024

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 130 BROAD ST, WEYMOUTH, MA 021882337 (Tel: 7813351576)

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Updated Business Mailing Address July 08, 2007

Registered at 130 BROAD ST, WEYMOUTH, MA 021882337 (Tel: 7813351576)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MITSCH, D.M.D.

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

Dentist (License #11473 in MA)

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Initial NPI Registration & Enumeration April 12, 2007

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: 1003030982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2007
Last Update: July 08, 2007
Deactivation Date: August 28, 2024

Mailing Address

130 Broad St

Weymouth, MA 021882337

Phone: 7813351576

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.