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Deactivated NPI 1730247750 Deactivated / Inactive NPI Male Practitioner

John Davis

Dentist - General Practice • Dallas, 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, John Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2006
NPI Deactivation Date July 26, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

John Davis was a registered Dentist - General Practice practicing in Dallas, TX. Throughout an active medical career spanning 17 years, John Davis provided care at the practice location at 10505 CHURCH RD until profile deactivation on 2023-07-26.

Practice Location & Contact Primary Location

Practice Address

10505 Church Rd

Dallas, TX 752382224

Telephone 2143413114

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
749 Specialists

Practicing in Dallas, TX (10570 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 TX 9204

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. David Nguyen , DDS

Dentist - General Practice

NPI 1083876239

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 July 26, 2023

Record deactivated on July 26, 2023

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 10505 CHURCH RD, DALLAS, TX 752382224 (Tel: 2143413114)

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Updated Business Mailing Address July 08, 2007

Registered at 650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 750816612 (Tel: 2143413114)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN DAVIS

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

Dentist (License #9204 in TX)

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Initial NPI Registration & Enumeration December 04, 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: 1730247750
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2006
Last Update: July 08, 2007
Deactivation Date: July 26, 2023

Mailing Address

650 International Pkwy, Suite 100

Richardson, TX 750816612

Phone: 2143413114

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.