Dr. Mark Douglas Johnson , DDS
Dentist - General Practice • Tacoma, WA
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. Mark Johnson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Johnson, DDS was a registered Dentist - General Practice practicing in Tacoma, WA. Throughout an active medical career spanning 15 years, Dr. Johnson provided care at the practice location at 6927 LAKEWOOD DR W until profile deactivation on 2021-02-24.
Practice Location & Contact Primary Location
6927 Lakewood Dr W
Ste. C-2
Tacoma, WA 984673247
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Tacoma, WA
Practicing in Tacoma, WA (3345 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
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Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 24, 2021
NPI status registered as active in NPPES database
Registered at 6927 LAKEWOOD DR W, STE. C-2, TACOMA, WA 984673247 (Tel: 2535651695)
Registered at 6927 LAKEWOOD DR W, STE. C-2, TACOMA, WA 984673247 (Tel: 2535651695)
Recorded as MARK JOHNSON, DDS
Dentist (License #5841 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6927 Lakewood Dr W, Ste. C-2
Tacoma, WA 984673247
Phone: 2535651695
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