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Deactivated NPI 1013130947 Deactivated / Inactive NPI Male Practitioner

Dr. John E Braithwaite , DMD

Dentist - General Practice • Salem, UT

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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. John Braithwaite has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2007
NPI Deactivation Date February 20, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Braithwaite, DMD was a registered Dentist - General Practice practicing in Salem, UT. Throughout an active medical career spanning 13 years, Dr. Braithwaite provided care at the practice location at 40 S 200 W until profile deactivation on 2020-02-20.

Practice Location & Contact Primary Location

Practice Address

40 S 200 W

Salem, UT 84653

Telephone 8014231345
Fax 8014231498

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Salem, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Salem, UT (1388 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 UT 135106

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. Justin Perry , DMD

Dentist - General Practice

NPI 1154524965

Doctor of Dental Medicine

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 February 20, 2020

Record deactivated on February 20, 2020

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 40 S 200 W, SALEM, UT 84653 (Tel: 8014231345)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1154, SALEM, UT 84653 (Tel: 8014231345)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN BRAITHWAITE, DMD

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

Dentist (License #135106 in UT)

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Initial NPI Registration & Enumeration April 10, 2007

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: 1013130947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: July 08, 2007
Deactivation Date: February 20, 2020

Mailing Address

Po Box 1154

Salem, UT 84653

Phone: 8014231345

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.