Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023760501 Individual Practitioner Male Practitioner

Dr. Kyle Mcnulty , DDS

Dentist • Fairfield, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Mcnulty, DDS is a registered healthcare professional specializing in Dentist in Fairfield, CA. Practice services are available at 5041 BUSINESS CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5041 Business Center Dr

Fairfield, CA 945341786

Telephone 8313591148

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
45 Specialists

Practicing in Fairfield, 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

CMS Verified: 2022-09-13
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 107652

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

2 Associated Practitioners
Dr. Elizabeth Tsang , DDS

Dentist - General Practice

NPI 1225328842

Doctor of Dental Surgery

NPI 1528113016

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 13, 2022

Registered at 5041 BUSINESS CENTER DR, FAIRFIELD, CA 945341786 (Tel: 8313591148)

📍
Updated Business Mailing Address September 13, 2022

Registered at 2179 BELLA CASA ST, DAVIS, CA 956160715 (Tel: 8313591148)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2022

Dentist (License #107652 in CA)

NPI Profile Active January 25, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2022

Registered at 201 WALNUT AVE, VALLEJO, CA 945921107 (Tel: 7075628200)

📍
Updated Business Mailing Address January 25, 2022

Registered at 293 SHASTA DR APT 167, VACAVILLE, CA 956874952 (Tel: 8313591148)

👤
Provider Name / Credentials Updated January 25, 2022

Recorded as KYLE MCNULTY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 25, 2022

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: 1023760501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2022
Last Update: September 13, 2022
Sole Proprietor: Yes

Mailing Address

2179 Bella Casa St

Davis, CA 956160715

Phone: 8313591148

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.