Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174622633 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald Willima Sandarg , DDS

Dentist - General Practice • Bellflower, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gerald Sandarg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2006
NPI Deactivation Date August 09, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Sandarg, DDS was a registered Dentist - General Practice practicing in Bellflower, CA. Throughout an active medical career spanning 11 years, Dr. Sandarg provided care at the practice location at 17024 CLARK AVE until profile deactivation on 2017-08-09.

Practice Location & Contact Primary Location

Practice Address

17024 Clark Ave
Suite #c

Bellflower, CA 907065700

Telephone 5629257436
Fax 5628670110
Associated Practice Facility / Clinic
🏢 Manuel Roman Dental Corp Facility NPI 1245857887

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellflower, CA

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

Practicing in Bellflower, 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 14868

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
NPI 1114097664

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated August 09, 2017

Record deactivated on August 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 17024 CLARK AVE, SUITE #C, BELLFLOWER, CA 907065700 (Tel: 5629257436)

📍
Updated Business Mailing Address July 08, 2007

Registered at 17024 CLARK AVE, SUITE #C, BELLFLOWER, CA 907065700 (Tel: 5629257436)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD SANDARG, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #14868 in CA)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Gerald Sandarg. Be the first to share your experience!

Sign in to leave a review for Dr. Gerald Sandarg

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174622633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Deactivation Date: August 09, 2017

Mailing Address

17024 Clark Ave, Suite #c

Bellflower, CA 907065700

Phone: 5629257436

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.