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Deactivated NPI 1750486577 Deactivated / Inactive NPI Male Practitioner

Dr. John Corlis Huntley , DDS

Dentist - General Practice • Saint Paul, 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. John Huntley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2006
NPI Deactivation Date May 17, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Huntley, DDS was a registered Dentist - General Practice practicing in Saint Paul, MN. Throughout an active medical career spanning 17 years, Dr. Huntley provided care at the practice location at 1099 ROBERT ST S until profile deactivation on 2023-05-17.

Practice Location & Contact Primary Location

Practice Address

1099 Robert St S

Saint Paul, MN 551181456

Telephone 6514575762
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
122 Specialists

Practicing in Saint Paul, 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 6561

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 1003702093

Doctor of Dental Surgery

Dr. Sean Geary , DMD

Dentist - Endodontics

NPI 1730560483

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 May 17, 2023

Record deactivated on May 17, 2023

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 1099 ROBERT ST S, SAINT PAUL, MN 551181456 (Tel: 6514575762)

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Updated Business Mailing Address July 08, 2007

Registered at 1402 CHERRY HILL RD, MENDOTA HEIGHTS, MN 551182710 (Tel: 6514571312)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN HUNTLEY, D.D.S.

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

Dentist (License #6561 in MN)

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Initial NPI Registration & Enumeration September 14, 2006

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: 1750486577
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2006
Last Update: July 08, 2007
Deactivation Date: May 17, 2023

Mailing Address

1402 Cherry Hill Rd

Mendota Heights, MN 551182710

Phone: 6514571312

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.