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Deactivated NPI 1619281250 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas J. Ishom , DDS

Dentist • Chesapeake, VA

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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. Thomas Ishom has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 05, 2010
NPI Deactivation Date March 18, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Ishom, DDS was a registered Dentist practicing in Chesapeake, VA. Throughout an active medical career spanning 10 years, Dr. Ishom provided care at the practice location at 3217 WESTERN BRANCH BOULEVARD until profile deactivation on 2020-03-18.

Practice Location & Contact Primary Location

Practice Address

3217 Western Branch Boulevard
Suite C

Chesapeake, VA 233215235

Telephone 7574843729
Fax 7574843756

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chesapeake, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Chesapeake, VA (2514 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 VA 0401005001

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

7 Historical Events
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NPI Profile Deactivated March 18, 2020

Record deactivated on March 18, 2020

NPI Profile Active August 05, 2010

NPI status registered as active in NPPES database

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Updated Practice Location August 05, 2010

Registered at 3217 WESTERN BRANCH BOULEVARD, SUITE C, CHESAPEAKE, VA 233215235 (Tel: 7574843729)

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Updated Business Mailing Address August 05, 2010

Registered at 3217 WESTERN BRANCH BOULEVARD, SUITE C, CHESAPEAKE, VA 233215235 (Tel: 7574843729)

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Provider Name / Credentials Updated August 05, 2010

Recorded as THOMAS ISHOM, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2010

Dentist (License #0401005001 in VA)

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Initial NPI Registration & Enumeration August 05, 2010

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: 1619281250
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2010
Last Update: August 05, 2010
Deactivation Date: March 18, 2020

Mailing Address

3217 Western Branch Boulevard, Suite C

Chesapeake, VA 233215235

Phone: 7574843729

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.