Dr. John A Israelsen , DDS
Dentist - General Practice • Logan, UT
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. John Israelsen has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. John Israelsen, DDS was a registered Dentist - General Practice practicing in Logan, UT. Throughout an active medical career spanning 13 years, Dr. Israelsen provided care at the practice location at 150 E 200 N until profile deactivation on 2019-06-26.
Practice Location & Contact Primary Location
150 E 200 N
Suite F
Logan, UT 843214036
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Logan, UT
Practicing in Logan, UT (1388 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
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Record deactivated on June 26, 2019
NPI status registered as active in NPPES database
Registered at 150 E 200 N, SUITE F, LOGAN, UT 843214036 (Tel: 4357505010)
Registered at 150 E 200 N, SUITE F, LOGAN, UT 843214036 (Tel: 4357505010)
Recorded as JOHN ISRAELSEN, DDS
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
150 E 200 N, Suite F
Logan, UT 843214036
Phone: 4357505010
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