Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619442472 Individual Practitioner Male Practitioner

Dr. Kevin Ewert , DDS

Dentist • Crestline, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Ewert, DDS is a registered healthcare professional specializing in Dentist in Crestline, CA. Practice services are available at 580 FOREST SHADE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

580 Forest Shade Rd

Crestline, CA 92325

Telephone 9093387731

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Crestline, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Crestline, CA (15331 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 103141

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1407160658

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 October 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2018

Registered at 580 FOREST SHADE RD, CRESTLINE, CA 92325 (Tel: 9093387731)

📍
Updated Business Mailing Address October 09, 2018

Registered at PO BOX 4093, CRESTLINE, CA 923254093

👤
Provider Name / Credentials Updated October 09, 2018

Recorded as KEVIN EWERT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Dentist (License #103141 in CA)

🟢
Initial NPI Registration & Enumeration October 09, 2018

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: 1619442472
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2018
Last Update: October 09, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 4093

Crestline, CA 923254093

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.