Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1740473008 Deactivated / Inactive NPI Male Practitioner

Dr. Fred David Johnson , DDS

Dentist • Mc Lean, 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. Fred Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2007
NPI Deactivation Date April 08, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Johnson, DDS was a registered Dentist practicing in Mc Lean, VA. Throughout an active medical career spanning 13 years, Dr. Johnson provided care at the practice location at 8355B GREENSBORO DR until profile deactivation on 2020-04-08.

Practice Location & Contact Primary Location

Practice Address

8355b Greensboro Dr

Mc Lean, VA 221023530

Telephone 7038931320
Associated Practice Facility / Clinic
🏢 Grove Dental Clinic Facility NPI 1689106726

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Mc Lean, 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 3859

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 April 08, 2020

Record deactivated on April 08, 2020

NPI Profile Active August 21, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2007

Registered at 8355B GREENSBORO DR, MC LEAN, VA 221023530 (Tel: 7038931320)

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Updated Business Mailing Address August 21, 2007

Registered at 8355 GREENSBORO DR., B, MCLEAN, VA 221023530 (Tel: 7038931320)

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Provider Name / Credentials Updated August 21, 2007

Recorded as FRED JOHNSON, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2007

Dentist (License #3859 in VA)

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Initial NPI Registration & Enumeration August 21, 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: 1740473008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2007
Last Update: August 21, 2007
Deactivation Date: April 08, 2020

Mailing Address

8355 Greensboro Dr., B

Mclean, VA 221023530

Phone: 7038931320

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.