Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629121496 Individual Practitioner Male Practitioner

Dr. Mark W Johnson , DMD

Dentist - General Practice • Thayne, WY

Professional Overview & Biography Verified Profile Summary

Dr. Mark Johnson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Thayne, WY. Practice services are available at 487 N MAIN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

487 N Main
Suite B

Thayne, WY 83127

Telephone 3078834222
Fax 3078834223
Associated Practice Facility / Clinic
🏢 Star Valley Oral Surgery Facility NPI 1821610957

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Thayne, WY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Thayne, WY (245 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 WY 1130

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
124642900 (WY)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2014

Registered at 487 N MAIN, SUITE B, THAYNE, WY 83127 (Tel: 3078834222)

📍
Updated Business Mailing Address July 30, 2014

Registered at PO BOX 1365, THAYNE, WY 831271365 (Tel: 3078834222)

👤
Provider Name / Credentials Updated July 30, 2014

Recorded as MARK JOHNSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2014

Dentist (License #1130 in WY)

🟢
Initial NPI Registration & Enumeration January 18, 2007

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: 1629121496
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: July 30, 2014
Sole Proprietor: No

Mailing Address

Po Box 1365

Thayne, WY 831271365

Phone: 3078834222

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.