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Deactivated NPI 1912345927 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Legon , DMD

Dentist • Newton, NJ

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

Registration / Start Date June 12, 2013
NPI Deactivation Date June 01, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Legon, DMD was a registered Dentist practicing in Newton, NJ. Throughout an active medical career spanning 9 years, Dr. Legon provided care at the practice location at 40 PARK PL until profile deactivation on 2022-06-01.

Practice Location & Contact Primary Location

Practice Address

40 Park Pl

Newton, NJ 078601747

Telephone 9733835700
Associated Practice Facility / Clinic
🏢 Jack Legon Dmd Pa Facility NPI 1235150335

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Newton, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Newton, NJ (2906 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NJ NJ 010842

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Rebekah Kirsch , COTA

Occupational Therapy Assistant

NPI 1588259428

Certified Occupational Therapy Assistant

NPI 1598016743

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 June 01, 2022

Record deactivated on June 01, 2022

NPI Profile Active June 12, 2013

NPI status registered as active in NPPES database

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Updated Practice Location June 12, 2013

Registered at 40 PARK PL, NEWTON, NJ 078601747 (Tel: 9733835700)

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Updated Business Mailing Address June 12, 2013

Registered at 40 PARK PL, NEWTON, NJ 078601747

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Provider Name / Credentials Updated June 12, 2013

Recorded as JACK LEGON, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2013

Dentist (License #NJ 010842 in NJ)

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Initial NPI Registration & Enumeration June 12, 2013

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: 1912345927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2013
Last Update: June 12, 2013
Deactivation Date: June 01, 2022

Mailing Address

40 Park Pl

Newton, NJ 078601747

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.