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Active NPI 1700974136 Individual Practitioner Male Practitioner

Dr. John Patrick Smith , DDS

Dentist - General Practice • Delavan, WI

Professional Overview & Biography Verified Profile Summary

Dr. John Smith, DDS is a registered healthcare professional specializing in Dentist - General Practice in Delavan, WI. Practice services are available at 1114 ANN ST STE 1-PO # 487 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1114 Ann St Ste 1-Po # 487

Delavan, WI 531151938

Telephone 2627288232
Fax 2627288259

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 3790

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33495800 (WI)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active October 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2007

Registered at 1114 ANN ST STE 1-PO # 487, DELAVAN, WI 531151938 (Tel: 2627288232)

📍
Updated Business Mailing Address October 02, 2007

Registered at 1114 ANN ST STE 1-PO # 487, DELAVAN, WI 531151938 (Tel: 2627288232)

👤
Provider Name / Credentials Updated October 02, 2007

Recorded as JOHN SMITH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2007

Dentist (License #3790 in WI)

🟢
Initial NPI Registration & Enumeration October 11, 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: 1700974136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: October 02, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1114 Ann St Ste 1-Po # 487

Delavan, WI 531151938

Phone: 2627288232

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.