Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1952305351 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry H Johnson , DDS

Dentist - General Practice • Vonore, TN

⚠️

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

Registration / Start Date June 13, 2005
NPI Deactivation Date January 26, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Johnson, DDS was a registered Dentist - General Practice practicing in Vonore, TN. Throughout an active medical career spanning 18 years, Dr. Johnson provided care at the practice location at 1277 HIGHWAY 411 until profile deactivation on 2023-01-26.

Practice Location & Contact Primary Location

Practice Address

1277 Highway 411

Vonore, TN 378852456

Telephone 4238842300
Associated Practice Facility / Clinic
🏢 Vonore Dental Practice P C Facility NPI 1730287087

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vonore, TN

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

Practicing in Vonore, 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 8773

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
Dr. Eric Fugate , DDS

Dentist - General Practice

NPI 1275756900

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 26, 2023

Record deactivated on January 26, 2023

NPI Profile Active March 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2014

Registered at 1277 HIGHWAY 411, VONORE, TN 378852456 (Tel: 4238842300)

📍
Updated Business Mailing Address March 10, 2014

Registered at 1277 HIGHWAY 411, VONORE, TN 378852456 (Tel: 4238842300)

👤
Provider Name / Credentials Updated March 10, 2014

Recorded as JERRY JOHNSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2014

Dentist (License #8773 in TN)

🟢
Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jerry Johnson. Be the first to share your experience!

Sign in to leave a review for Dr. Jerry Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1952305351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: March 10, 2014
Deactivation Date: January 26, 2023

Mailing Address

1277 Highway 411

Vonore, TN 378852456

Phone: 4238842300

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.