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Deactivated NPI 1093989543 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Thomas Johnson , DDS

Dentist - General Practice • Carlton, MN

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

Registration / Start Date April 16, 2008
NPI Deactivation Date December 02, 2022
Total Practice Duration ~14 Years of Practice (2008 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Johnson, DDS was a registered Dentist - General Practice practicing in Carlton, MN. Throughout an active medical career spanning 14 years, Dr. Johnson provided care at the practice location at 210 THIRD STREET until profile deactivation on 2022-12-02.

Practice Location & Contact Primary Location

Practice Address

210 Third Street

Carlton, MN 55718

Telephone 2183844020
Fax 2183844020

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Carlton, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Carlton, MN (2262 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 MN 6227

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.

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 02, 2022

Record deactivated on December 02, 2022

NPI Profile Active April 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 16, 2008

Registered at 210 THIRD STREET, CARLTON, MN 55718 (Tel: 2183844020)

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Updated Business Mailing Address April 16, 2008

Registered at PO BOX 266, 210 THIRD STREET, CARLTON, MN 557180266 (Tel: 2183844020)

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Provider Name / Credentials Updated April 16, 2008

Recorded as ROBERT JOHNSON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2008

Dentist (License #6227 in MN)

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Initial NPI Registration & Enumeration April 16, 2008

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: 1093989543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2008
Last Update: April 16, 2008
Deactivation Date: December 02, 2022

Mailing Address

Po Box 266, 210 Third Street

Carlton, MN 557180266

Phone: 2183844020

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.