Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043740970 Individual Practitioner Male Practitioner

Dr. Teddy Belgica Eusebio , DDS

Dentist - General Practice • Alameda, CA

Professional Overview & Biography Verified Profile Summary

Dr. Teddy Eusebio, DDS is a registered healthcare professional specializing in Dentist - General Practice in Alameda, CA. Practice services are available at 1242 PARK ST STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1242 Park St Ste A

Alameda, CA 945015500

Telephone 5108656890

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Alameda, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Alameda, CA (18734 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 CA 103242

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 MI 2901022306

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

Commercial Insurance / Payer ID Dentpin
36645932 (CA)
Commercial Insurance / Payer ID Dentpin
36645932 (MI)

Secondary Practice Locations

1500 E Medical Center Dr Spc 5831

Ann Arbor, MI 481095000

Phone: 7349365950

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Teodoro Eusebio , DMD

Dentist - General Practice

NPI 1437478211

Doctor of Dental Medicine

NPI 1528752102

Doctor of Dental Medicine, Master of Business Administration

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 13, 2018

Registered at 1242 PARK ST STE A, ALAMEDA, CA 945015500 (Tel: 5108656890)

📍
Updated Business Mailing Address December 13, 2018

Registered at 1242 PARK ST STE A, ALAMEDA, CA 945015500 (Tel: 5108656890)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2018

Dentist (License #103242 in CA)

NPI Profile Active June 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2017

Registered at 1500 E MEDICAL CENTER DR SPC 5831, ANN ARBOR, MI 481095000 (Tel: 7349365950)

📍
Updated Business Mailing Address June 13, 2017

Registered at 1500 E. MEDICAL CENTER DRIVE, MEDINN CLINIC C213, SPC 5831, ANN ARBOR, MI 481095831

👤
Provider Name / Credentials Updated June 13, 2017

Recorded as TEDDY EUSEBIO, DDS

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

Dentist (License #2901022306 in MI)

🟢
Initial NPI Registration & Enumeration June 13, 2017

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: 1043740970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2017
Last Update: December 13, 2018
Sole Proprietor: No

Mailing Address

1242 Park St Ste A

Alameda, CA 945015500

Phone: 5108656890

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.