Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376859124 Individual Practitioner Male Practitioner

Dr. Ryan W. Jergensen , DDS

Dentist - General Practice • Fremont, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Jergensen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fremont, CA. Practice services are available at 2243 MOWRY AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2243 Mowry Ave Ste B

Fremont, CA 945381630

Telephone 5107978991
Fax 5107978280
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fremont, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
161 Specialists

Practicing in Fremont, 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 59484

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

3 Associated Practitioners
Dr. Mark Stewart , DDS

Dentist - General Practice

NPI 1073895165

Doctor of Dental Surgery

NPI 1780378752
Dr. Bernard Stewart , DDS

Dentist - General Practice

NPI 1952490997

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 August 30, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2010

Registered at 2243 MOWRY AVE STE B, FREMONT, CA 945381630 (Tel: 5107978991)

📍
Updated Business Mailing Address August 30, 2010

Registered at 2243 MOWRY AVE STE B, FREMONT, CA 945381630 (Tel: 5107978991)

👤
Provider Name / Credentials Updated August 30, 2010

Recorded as RYAN JERGENSEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2010

Dentist (License #59484 in CA)

🟢
Initial NPI Registration & Enumeration August 30, 2010

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: 1376859124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2010
Last Update: August 30, 2010
Sole Proprietor: No

Mailing Address

2243 Mowry Ave Ste B

Fremont, CA 945381630

Phone: 5107978991

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.