Dr. Mack S Johnsen , DMD, PC
Dentist - General Practice • Wilsonville, OR
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. Mack Johnsen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mack Johnsen, DMD, PC was a registered Dentist - General Practice practicing in Wilsonville, OR. Throughout an active medical career spanning 15 years, Dr. Johnsen provided care at the practice location at 29990 SW TOWN CENTER LOOP W SUITE A until profile deactivation on 2023-09-27.
Practice Location & Contact Primary Location
29990 Sw Town Center Loop W Suite A
Wilsonville, OR 97070
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Wilsonville, OR
Practicing in Wilsonville, OR (1994 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 27, 2023
NPI status registered as active in NPPES database
Registered at 29990 SW TOWN CENTER LOOP W SUITE A, WILSONVILLE, OR 97070 (Tel: 5036822110)
Registered at 29990 SW TOWN CENTER LOOP W SUITE A, WILSONVILLE, OR 970709425 (Tel: 5036822110)
Recorded as MACK JOHNSEN, DMD, PC
Dentist (License #4949 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
29990 Sw Town Center Loop W Suite A
Wilsonville, OR 970709425
Phone: 5036822110
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