Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669008082 Individual Practitioner Female Practitioner

Deepa Patel Juthani

Dentist • Concord, NC

Professional Overview & Biography Verified Profile Summary

Deepa Juthani is a registered healthcare professional specializing in Dentist in Concord, NC. Practice services are available at 1020 LEE ANN DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1020 Lee Ann Dr Ne

Concord, NC 280252911

Telephone 7047951055
Associated Practice Facility / Clinic
🏢 Bryan T. Persinger Dds Pa Facility NPI 1891857470

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Concord, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Concord, NC (2435 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: 2025-05-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NC 12409

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License SC 10956

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.

Secondary Practice Locations

1200 Gold Hill Rd Ste 101

Fort Mill, SC 297086916

Phone: 8033960000

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1063894392

Doctor of Dental Medicine

Dr. Rocco Colucci , DMD

Dentist - General Practice

NPI 1255909404

Doctor of Dental Medicine

NPI 1316208077

Doctor of Dental Medicine

NPI 1396241709

Doctor of Dental Surgery

Dr. Abigail Gonzales , DDS

Dentist - General Practice

NPI 1609448547

Doctor of Dental Surgery

Dr. Bryan Persinger , DDS

Dentist - General Practice

NPI 1619039286

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
👤
Provider Name / Credentials Updated May 06, 2025

Recorded as DEEPA JUTHANI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2025

Dentist (License #10956 in SC)

📍
Updated Practice Location November 08, 2023

Registered at 1020 LEE ANN DR NE, CONCORD, NC 280252911 (Tel: 7047951055)

📍
Updated Business Mailing Address November 08, 2023

Registered at 506 ARBOR LN, CENTERVILLE, GA 310288606

📍
Updated Practice Location July 19, 2021

Registered at 5923 W FRIENDLY AVE, GREENSBORO, NC 274103207 (Tel: 8775263337)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2021

Dentist (License #12409 in NC)

NPI Profile Active March 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2020

Registered at 500 INDIANA AVE, WINSLOW, AZ 860472169 (Tel: 9282894646)

📍
Updated Business Mailing Address March 17, 2020

Registered at PO BOX 388, CENTERVILLE, GA 310280388

👤
Provider Name / Credentials Updated March 17, 2020

Recorded as DEEPA PATEL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 17, 2020

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: 1669008082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2020
Last Update: May 06, 2025
Sole Proprietor: Yes

Mailing Address

506 Arbor Ln

Centerville, GA 310288606

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.