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Deactivated NPI 1154383651 Deactivated / Inactive NPI Male Practitioner

Dr. John Keith Lungren , DDS

Dentist - General Practice • Anacortes, WA

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

Registration / Start Date April 03, 2006
NPI Deactivation Date February 08, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Lungren, DDS was a registered Dentist - General Practice practicing in Anacortes, WA. Throughout an active medical career spanning 15 years, Dr. Lungren provided care at the practice location at 601 O AVE until profile deactivation on 2021-02-08.

Practice Location & Contact Primary Location

Practice Address

601 O Ave

Anacortes, WA 982211747

Telephone 3602938737
Associated Practice Facility / Clinic
🏢 Ronald A Pinson Dmd Ms Ps Facility NPI 1770540809

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Anacortes, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
13 Specialists

Practicing in Anacortes, WA (3345 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 WA 6268

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

2 Associated Practitioners
NPI 1497600589
NPI 1558075812

Registered Dental Hygienist

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 08, 2021

Record deactivated on February 08, 2021

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 601 O AVE, ANACORTES, WA 982211747 (Tel: 3602938737)

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Updated Business Mailing Address July 08, 2007

Registered at 13697 DONNELL RD, ANACORTES, WA 982218456 (Tel: 3602934567)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN LUNGREN, DDS

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

Dentist (License #6268 in WA)

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Initial NPI Registration & Enumeration April 03, 2006

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: 1154383651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2006
Last Update: July 08, 2007
Deactivation Date: February 08, 2021

Mailing Address

13697 Donnell Rd

Anacortes, WA 982218456

Phone: 3602934567

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.