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Deactivated NPI 1639241904 Deactivated / Inactive NPI Male Practitioner

Marshall R Johnson

Dentist - General Practice • Mayfield Hts, OH

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

Registration / Start Date November 14, 2006
NPI Deactivation Date May 31, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Marshall Johnson was a registered Dentist - General Practice practicing in Mayfield Hts, OH. Throughout an active medical career spanning 16 years, Marshall Johnson provided care at the practice location at 5875 LANDERBROOK DR STE 250 until profile deactivation on 2022-05-31.

Practice Location & Contact Primary Location

Practice Address

5875 Landerbrook Dr Ste 250

Mayfield Hts, OH 441246502

Telephone 8004874867
Fax 2165937533
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mayfield Hts, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
75 Specialists

Practicing in Mayfield Hts, OH (4287 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 6353

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

40 Associated Practitioners
Dr. Scott Futch , DDS

Dentist - General Practice

NPI 1003987744

Doctor of Dental Surgery

Natalie Stelzer

Dentist - General Practice

NPI 1003988155
Bharat Chauhan

Dentist - General Practice

NPI 1013088764
Bryan Veal

Dentist - General Practice

NPI 1013089267
Randall Mcclary

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1033237821
Michael Kramer

Dentist - General Practice

NPI 1033237946

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 5875 LANDERBROOK DR STE 250, MAYFIELD HTS, OH 441246502 (Tel: 8004874867)

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Updated Business Mailing Address July 08, 2007

Registered at 5875 LANDERBROOK DR STE 250, MAYFIELD HTS, OH 441246502 (Tel: 8004874867)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARSHALL JOHNSON

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

Dentist (License #6353 in NC)

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Initial NPI Registration & Enumeration November 14, 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: 1639241904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 08, 2007
Deactivation Date: May 31, 2022

Mailing Address

5875 Landerbrook Dr Ste 250

Mayfield Hts, OH 441246502

Phone: 8004874867

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.