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Deactivated NPI 1689115511 Deactivated / Inactive NPI Female Practitioner

Dr. Jungsun Seo Ahn , DDS

Dentist • San Antonio, 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. Jungsun Ahn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 10, 2017
NPI Deactivation Date January 11, 2022
Total Practice Duration ~5 Years of Practice (2017 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jungsun Ahn, DDS was a registered Dentist practicing in San Antonio, TX. Throughout an active medical career spanning 5 years, Dr. Ahn provided care at the practice location at 6155 ECKHERT RD until profile deactivation on 2022-01-11.

Practice Location & Contact Primary Location

Practice Address

6155 Eckhert Rd
Unit 14110

San Antonio, TX 782402605

Telephone 2165436890

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
581 Specialists

Practicing in San Antonio, 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 32180

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.

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated January 11, 2022

Record deactivated on January 11, 2022

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Updated Practice Location August 28, 2018

Registered at 135 BOSTON TPKE, SHREWSBURY, MA 01545 (Tel: 5084253316)

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Updated Business Mailing Address August 28, 2018

Registered at 1 NASHUA ST APT 1202, BOSTON, MA 021141611 (Tel: 2165436890)

NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 10, 2017

Registered at 6155 ECKHERT RD, UNIT 14110, SAN ANTONIO, TX 782402605 (Tel: 2165436890)

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Updated Business Mailing Address March 10, 2017

Registered at 6155 ECKHERT RD, UNIT 14110, SAN ANTONIO, TX 782402605 (Tel: 2165436890)

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Provider Name / Credentials Updated March 10, 2017

Recorded as JUNGSUN AHN, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Dentist (License #32180 in TX)

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Initial NPI Registration & Enumeration March 10, 2017

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: 1689115511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2017
Last Update: March 10, 2017
Deactivation Date: January 11, 2022

Mailing Address

6155 Eckhert Rd, Unit 14110

San Antonio, TX 782402605

Phone: 2165436890

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.