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Deactivated NPI 1770622680 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Lynn Brewer , DDS

Dentist - General Practice • Soddy Daisy, TN

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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. Jeffrey Brewer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 06, 2007
NPI Deactivation Date November 03, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Brewer, DDS was a registered Dentist - General Practice practicing in Soddy Daisy, TN. Throughout an active medical career spanning 14 years, Dr. Brewer provided care at the practice location at 10298 WALDEN ST until profile deactivation on 2021-11-03.

Practice Location & Contact Primary Location

Practice Address

10298 Walden St

Soddy Daisy, TN 373795152

Telephone 4233323431
Associated Practice Facility / Clinic
🏢 Jeffrey L. Brewer Dds Pc Facility NPI 1073808457

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Soddy Daisy, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Soddy Daisy, TN (2175 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 TN 5308

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
Giselle Paredes , PA-C

Physician Assistant

NPI 1477386613

Physician Assistant (Certified)

Chasen Halcomb

Physician Assistant

NPI 1689184616

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 03, 2021

Record deactivated on November 03, 2021

NPI Profile Active January 22, 2013

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2013

Registered at 10298 WALDEN ST, SODDY DAISY, TN 373795152 (Tel: 4233323431)

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Updated Business Mailing Address January 22, 2013

Registered at PO BOX 607, SODDY DAISY, TN 373840607 (Tel: 4233323431)

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Provider Name / Credentials Updated January 22, 2013

Recorded as JEFFREY BREWER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2013

Dentist (License #5308 in TN)

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Initial NPI Registration & Enumeration February 06, 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: 1770622680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: January 22, 2013
Deactivation Date: November 03, 2021

Mailing Address

Po Box 607

Soddy Daisy, TN 373840607

Phone: 4233323431

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.