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Deactivated NPI 1548298094 Deactivated / Inactive NPI Male Practitioner

Dr. David Wayne Johnson , DDS

Dentist - General Practice • Jacksonville, NC

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

Registration / Start Date June 30, 2006
NPI Deactivation Date May 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. David Johnson, DDS was a registered Dentist - General Practice practicing in Jacksonville, NC. Throughout an active medical career spanning 16 years, Dr. Johnson provided care at the practice location at 3301 HENDERSON DR until profile deactivation on 2022-05-31.

Practice Location & Contact Primary Location

Practice Address

3301 Henderson Dr

Jacksonville, NC 285465231

Telephone 9109384333
Fax 9109382889
Associated Practice Facility / Clinic
🏢 David Johnson Dds Pa Facility NPI 1457540346

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
50 Specialists

Practicing in Jacksonville, NC (4047 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 NC 6572

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

2 Associated Practitioners
NPI 1023633930

Doctor of Dental Surgery

Dr. Matthew Williams , DMD

Dentist - General Practice

NPI 1043193899

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 May 31, 2022

Record deactivated on May 31, 2022

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 3301 HENDERSON DR, JACKSONVILLE, NC 285465231 (Tel: 9109384333)

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Updated Business Mailing Address July 08, 2007

Registered at 3301 HENDERSON DR, JACKSONVILLE, NC 285465231 (Tel: 9109384333)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID JOHNSON, D.D.S.

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

Dentist (License #6572 in NC)

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Initial NPI Registration & Enumeration June 30, 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: 1548298094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2006
Last Update: July 08, 2007
Deactivation Date: May 31, 2022

Mailing Address

3301 Henderson Dr

Jacksonville, NC 285465231

Phone: 9109384333

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.