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Deactivated NPI 1740387802 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Harrison Bohannan , DDS

Dentist • Bedford, TX

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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. Roger Bohannan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date July 23, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Bohannan, DDS was a registered Dentist practicing in Bedford, TX. Throughout an active medical career spanning 20 years, Dr. Bohannan provided care at the practice location at 1404 BROWN TRAIL until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

1404 Brown Trail
Suite E

Bedford, TX 760226417

Telephone 8172826751
Associated Practice Facility / Clinic
🏢 Roger H Bohannan Dds Inc Facility NPI 1881791937

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bedford, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
18 Specialists

Practicing in Bedford, TX (6851 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 8921

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1285731349

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

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NPI Profile Deactivated July 22, 2026

Record deactivated on July 22, 2026

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 1404 BROWN TRAIL, SUITE E, BEDFORD, TX 760226417 (Tel: 8172826751)

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Updated Business Mailing Address July 08, 2007

Registered at 1404 BROWN TRAIL, SUITE E, BEDFORD, TX 760226417 (Tel: 8172826751)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER BOHANNAN, DDS

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

Dentist (License #8921 in TX)

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Initial NPI Registration & Enumeration September 20, 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: 1740387802
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Deactivation Date: July 23, 2026

Mailing Address

1404 Brown Trail, Suite E

Bedford, TX 760226417

Phone: 8172826751

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.