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Active NPI 1376651364 Individual Practitioner Male Practitioner

Dr. Jeremy Leonard Johnson , DDS

Dentist • Monroe, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jeremy Johnson, DDS is a registered healthcare professional specializing in Dentist in Monroe, WA. Practice services are available at 14650 N KELSEY ST # 104-105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14650 N Kelsey St # 104-105

Monroe, WA 982721456

Telephone 3607948580
Fax 8444701798
Associated Practice Facility / Clinic
🏢 Monroe Smiles Inc Facility NPI 1184154155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Monroe, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Monroe, WA (2853 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 WA DE00009214

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

11 Historical Events
NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2017

Registered at 14650 N KELSEY ST # 104-105, MONROE, WA 982721456 (Tel: (360) 794-8580)

📍
Updated Business Mailing Address June 13, 2017

Registered at 14650 N KELSEY ST #104-105, MONROE, WA 98272 (Tel: (360) 794-8580)

👤
Provider Name / Credentials Updated June 13, 2017

Recorded as JEREMY JOHNSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2017

Dentist (License #DE00009214 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 114 W MAIN ST, MONROE, WA 982721810 (Tel: 3607948580)

📍
Updated Business Mailing Address July 08, 2007

Registered at 114 W MAIN ST, MONROE, WA 982721810 (Tel: 3607948580)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JEREMY JOHNSON, D.D.S.

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

Dentist (License #DE00009214 in WA)

🟢
Initial NPI Registration & Enumeration August 29, 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: 1376651364
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

14650 N Kelsey St #104-105

Monroe, WA 98272

Phone: 3607948580

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.