Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619985272 Individual Practitioner Male Practitioner

Dr. Daryl Lance Johnson , DMD

Dentist - General Practice • Cleveland, MS

Professional Overview & Biography Verified Profile Summary

Dr. Daryl Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Cleveland, MS. Practice services are available at 1313 W HIGHWAY 8 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1313 W Highway 8

Cleveland, MS 387322240

Telephone 6628438353
Fax 6628438303
Associated Practice Facility / Clinic
🏢 Lifetime Dental Pllc Facility NPI 1053573725

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cleveland, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Cleveland, MS (895 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

CMS Verified: 2020-10-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MS 2826-94

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00660091 (MS)

Secondary Practice Locations

910 Medallion Dr

Greenwood, MS 389302118

Phone: 6624559149

3333 N Fm 1417

Sherman, TX 750923432

Phone: 9038932540

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1043691603

Doctor of Dental Medicine

NPI 1902547037

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 19, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2009

Registered at 1313 W HIGHWAY 8, CLEVELAND, MS 387322240 (Tel: 6628438353)

📍
Updated Business Mailing Address May 19, 2009

Registered at 1313 W HIGHWAY 8, CLEVELAND, MS 387322240 (Tel: 6628438353)

👤
Provider Name / Credentials Updated May 19, 2009

Recorded as DARYL JOHNSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2009

Dentist (License #2826-94 in MS)

🟢
Initial NPI Registration & Enumeration August 03, 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: 1619985272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: October 14, 2020
Sole Proprietor: Yes

Mailing Address

1313 W Highway 8

Cleveland, MS 387322240

Phone: 6628438353

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.