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Deactivated NPI 1336145929 Deactivated / Inactive NPI Male Practitioner

Dr. Jon David Skare , DDS

Dentist - General Practice • Eagan, 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. Jon Skare has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2005
NPI Deactivation Date March 31, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Skare, DDS was a registered Dentist - General Practice practicing in Eagan, MN. Throughout an active medical career spanning 1 years, Dr. Skare provided care at the practice location at 4355 NICOLS RD until profile deactivation on 2006-03-31.

Practice Location & Contact Primary Location

Practice Address

4355 Nicols Rd

Eagan, MN 551221912

Telephone 9524315088
Associated Practice Facility / Clinic
🏢 Wood Park Dental Facility NPI 1750577318

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eagan, MN

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

Practicing in Eagan, 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 9742

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

2 Associated Practitioners
NPI 1346436912

Doctor of Dental Surgery

Dr. Tuanh Le , DDS

Dentist - General Practice

NPI 1710387261

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 10, 2014

Registered at 4355 NICOLS RD, EAGAN, MN 551221912 (Tel: 9524315088)

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Updated Business Mailing Address July 10, 2014

Registered at 4355 NICOLS RD, EAGAN, MN 551221912 (Tel: 9524315088)

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Provider Name / Credentials Updated July 10, 2014

Recorded as JON SKARE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2014

Dentist (License #9742 in MN)

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NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

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NPI Profile Deactivated March 31, 2006

Record deactivated on March 31, 2006

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Initial NPI Registration & Enumeration June 28, 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: 1336145929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2005
Last Update: July 10, 2014
Deactivation Date: March 31, 2006
Sole Proprietor: Yes

Mailing Address

4355 Nicols Rd

Eagan, MN 551221912

Phone: 9524315088

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.