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Deactivated NPI 1235346305 Deactivated / Inactive NPI Male Practitioner

Dr. John Franklin Phelan , DDS

Dentist - General Practice • Albuquerque, NM

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

Registration / Start Date May 17, 2007
NPI Deactivation Date December 17, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Phelan, DDS was a registered Dentist - General Practice practicing in Albuquerque, NM. Throughout an active medical career spanning 11 years, Dr. Phelan provided care at the practice location at 3003 SILVER AVE SE until profile deactivation on 2018-12-17.

Practice Location & Contact Primary Location

Practice Address

3003 Silver Ave Se

Albuquerque, NM 871062243

Telephone 5052563509

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
306 Specialists

Practicing in Albuquerque, NM (761 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 NM 625

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

1 Associated Practitioners
NPI 1033289657

CPDHCOLLABORATIVEP

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 17, 2018

Record deactivated on December 17, 2018

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 3003 SILVER AVE SE, ALBUQUERQUE, NM 871062243 (Tel: 5052563509)

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Updated Business Mailing Address July 08, 2007

Registered at 3003 SILVER AVE SE, ALBUQUERQUE, NM 871062243 (Tel: 5052563509)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PHELAN, DDS

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

Dentist (License #625 in NM)

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Initial NPI Registration & Enumeration May 17, 2007

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: 1235346305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2007
Last Update: July 08, 2007
Deactivation Date: December 17, 2018

Mailing Address

3003 Silver Ave Se

Albuquerque, NM 871062243

Phone: 5052563509

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.