Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164118873 Individual Practitioner Male Practitioner

Thomas Ray Stater

Dentist - General Practice • Alameda, CA

Professional Overview & Biography Verified Profile Summary

Thomas Stater is a registered healthcare professional specializing in Dentist - General Practice in Alameda, CA. Practice services are available at 2111 WHITEHALL PL STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2111 Whitehall Pl Ste C

Alameda, CA 945016160

Telephone 5105235323
Associated Practice Facility / Clinic
🏢 South Shore Dental Facility NPI 1942695457

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

CMS Verified: 2023-04-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 107632

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

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

1 Associated Practitioners
Dr. Matthew Lau , DDS

Dentist - General Practice

NPI 1417282187

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2023

Registered at 2111 WHITEHALL PL STE C, ALAMEDA, CA 945016160 (Tel: 5105235323)

📍
Updated Business Mailing Address April 14, 2023

Registered at 1582 MERITAGE LOOP, BRENTWOOD, CA 945136484

👤
Provider Name / Credentials Updated April 14, 2023

Recorded as THOMAS STATER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2023

Dentist (License #107632 in CA)

🟢
Initial NPI Registration & Enumeration April 14, 2023

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: 1164118873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2023
Last Update: April 14, 2023
Sole Proprietor: No

Mailing Address

1582 Meritage Loop

Brentwood, CA 945136484

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.