Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205324688 Individual Practitioner Female Practitioner

Dr. Samantha Ryan Johnson , DDS

Dentist - General Practice • Delavan, WI

Professional Overview & Biography Verified Profile Summary

Dr. Samantha Johnson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Delavan, WI. Practice services are available at 1624 HOBBS DR STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1624 Hobbs Dr Ste 2

Delavan, WI 531152000

Telephone 2627401010
Associated Practice Facility / Clinic
🏢 Delevan Family Dentistry Facility NPI 1427290147

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Delavan, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Delavan, WI (2459 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

CMS Verified: 2021-06-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 1001830-15

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 1001830

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1801 W Wisconsin Ave

Milwaukee, WI 53233

Phone: 2624271218

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Emily Taibl

Dentist - General Practice

NPI 1306073317
Dr. John Neubauer , DDS

Dentist - General Practice

NPI 1780573733

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 08, 2021

Registered at 1624 HOBBS DR STE 2, DELAVAN, WI 531152000 (Tel: 2627401010)

📍
Updated Business Mailing Address June 08, 2021

Registered at 1624 HOBBS DR STE 2, DELAVAN, WI 531152000 (Tel: 2627401010)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2021

Dentist (License #1001830 in WI)

📍
Updated Business Mailing Address February 27, 2020

Registered at 2630 LIBERTY LANE, JANESVILLE, WI 535451420 (Tel: 6087522931)

📍
Updated Practice Location May 31, 2018

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 53233 (Tel: 2624271218)

📍
Updated Business Mailing Address May 31, 2018

Registered at 580 BROAD ST, LAKE GENEVA, WI 531471420

👤
Provider Name / Credentials Updated May 31, 2018

Recorded as SAMANTHA JOHNSON, DDS

NPI Profile Active May 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2018

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 2624271218)

📍
Updated Business Mailing Address May 01, 2018

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186

👤
Provider Name / Credentials Updated May 01, 2018

Recorded as SAMANTHA JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 01, 2018

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: 1205324688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2018
Last Update: June 08, 2021
Sole Proprietor: No

Mailing Address

1624 Hobbs Dr Ste 2

Delavan, WI 531152000

Phone: 2627401010

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.