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Deactivated NPI 1083683395 Deactivated / Inactive NPI Male Practitioner

Dr. John Locke Edwards , DDS

Dentist - General Practice • Irmo, SC

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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. John Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 17, 2006
NPI Deactivation Date June 16, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Edwards, DDS was a registered Dentist - General Practice practicing in Irmo, SC. Throughout an active medical career spanning 15 years, Dr. Edwards provided care at the practice location at 1380 LAKE MURRAY BLVD until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

1380 Lake Murray Blvd

Irmo, SC 290632836

Telephone 8037329148
Fax 8037324633

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Irmo, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
21 Specialists

Practicing in Irmo, SC (1873 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 SC 2530

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

1 Associated Practitioners
NPI 1013174788

Doctor of Dental Surgery

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 June 16, 2021

Record deactivated on June 16, 2021

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 1380 LAKE MURRAY BLVD, IRMO, SC 290632836 (Tel: 8037329148)

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Updated Business Mailing Address July 08, 2007

Registered at 1380 LAKE MURRAY BLVD, PO BOX 2147, IRMO, SC 290632836 (Tel: 8037329148)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN EDWARDS, DDS

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

Dentist (License #2530 in SC)

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Initial NPI Registration & Enumeration March 17, 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: 1083683395
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2006
Last Update: July 08, 2007
Deactivation Date: June 16, 2021

Mailing Address

1380 Lake Murray Blvd, Po Box 2147

Irmo, SC 290632836

Phone: 8037329148

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.