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Deactivated NPI 1487790309 Deactivated / Inactive NPI Male Practitioner

Dr. John Michael Mckenna , DDS

Dentist - General Practice • Flint, MI

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

Registration / Start Date January 29, 2007
NPI Deactivation Date April 19, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Mckenna, DDS was a registered Dentist - General Practice practicing in Flint, MI. Throughout an active medical career spanning 12 years, Dr. Mckenna provided care at the practice location at 1335 S LINDEN RD STE A until profile deactivation on 2019-04-19.

Practice Location & Contact Primary Location

Practice Address

1335 S Linden Rd Ste A

Flint, MI 485323420

Telephone 8102300400
Fax 8102307421
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flint, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
81 Specialists

Practicing in Flint, MI (4360 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 MI JM007108

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. Ahmad Munir , MD

Internal Medicine - Interventional Cardiology

NPI 1730145228

Doctor of Medicine (M.D.)

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 April 19, 2019

Record deactivated on April 19, 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 1335 S LINDEN RD STE A, FLINT, MI 485323420 (Tel: 8102300400)

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Updated Business Mailing Address July 08, 2007

Registered at 1335 S LINDEN RD STE A, FLINT, MI 485323420 (Tel: 8102300400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN MCKENNA, D.D.S

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

Dentist (License #JM007108 in MI)

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Initial NPI Registration & Enumeration January 29, 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: 1487790309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2007
Last Update: July 08, 2007
Deactivation Date: April 19, 2019

Mailing Address

1335 S Linden Rd Ste A

Flint, MI 485323420

Phone: 8102300400

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.