Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619174406 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick O Johnson , DMD

Dentist • Binghamton, NY

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

Registration / Start Date June 27, 2007
NPI Deactivation Date July 26, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Johnson, DMD was a registered Dentist practicing in Binghamton, NY. Throughout an active medical career spanning 16 years, Dr. Johnson provided care at the practice location at 225 FRONT ST until profile deactivation on 2023-07-26.

Practice Location & Contact Primary Location

Practice Address

225 Front St

Binghamton, NY 139052424

Telephone 6077782839
Associated Practice Facility / Clinic
🏢 Broome County Facility NPI 1427019629

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Binghamton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
26 Specialists

Practicing in Binghamton, NY (6355 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 NY 24960

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

3 Associated Practitioners
Yvonne Johnston , FNP

Nurse Practitioner - Family

NPI 1417354911

Family Nurse Practitioner

Dr. Blenda Smith , FNP, PhD

Nurse Practitioner - Family

NPI 1871737783

Family Nurse Practitioner, Doctor of Philosophy (Ph.D.)

Melissa Brennan , FNP

Nurse Practitioner - Family

NPI 1992873178

Family Nurse Practitioner

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 July 26, 2023

Record deactivated on July 26, 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 225 FRONT ST, BINGHAMTON, NY 139052424 (Tel: 6077782839)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 8, AFTON, NY 137300008 (Tel: 6076392504)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FREDERICK JOHNSON, D.M.D.

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

Dentist (License #24960 in NY)

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Initial NPI Registration & Enumeration June 27, 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: 1619174406
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2007
Last Update: July 08, 2007
Deactivation Date: July 26, 2023

Mailing Address

Po Box 8

Afton, NY 137300008

Phone: 6076392504

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.