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Deactivated NPI 1013113349 Deactivated / Inactive NPI Male Practitioner

Dr. Jack Ellis Showley , DDS

Dentist - General Practice • Newville, PA

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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. Jack Showley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 24, 2007
NPI Deactivation Date November 02, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jack Showley, DDS was a registered Dentist - General Practice practicing in Newville, PA. Throughout an active medical career spanning 13 years, Dr. Showley provided care at the practice location at 85 S HIGH ST until profile deactivation on 2020-11-02.

Practice Location & Contact Primary Location

Practice Address

85 S High St

Newville, PA 172411405

Telephone 7177761228
Fax 7177540755
Associated Practice Facility / Clinic
🏢 Big Spring Dental Center, Llc Facility NPI 1912103235

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Newville, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Newville, PA (4936 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 PA DS035647

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.

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 November 02, 2020

Record deactivated on November 02, 2020

NPI Profile Active November 29, 2012

NPI status registered as active in NPPES database

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Updated Practice Location November 29, 2012

Registered at 85 S HIGH ST, NEWVILLE, PA 172411405 (Tel: 7177761228)

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Updated Business Mailing Address November 29, 2012

Registered at 85 S HIGH ST, NEWVILLE, PA 172411405 (Tel: 7177761228)

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Provider Name / Credentials Updated November 29, 2012

Recorded as JACK SHOWLEY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2012

Dentist (License #DS035647 in PA)

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Initial NPI Registration & Enumeration June 24, 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: 1013113349
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2007
Last Update: November 29, 2012
Deactivation Date: November 02, 2020

Mailing Address

85 S High St

Newville, PA 172411405

Phone: 7177761228

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.