Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255302022 Individual Practitioner Male Practitioner

Dr. Blong Roger Ly , DDS

Dentist • Jamestown, CA

Professional Overview & Biography Verified Profile Summary

Dr. Blong Ly, DDS is a registered healthcare professional specializing in Dentist in Jamestown, CA. Practice services are available at 5100 OBYRNES FERRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5100 Obyrnes Ferry Rd

Jamestown, CA 953279102

Telephone 2099845291
Associated Practice Facility / Clinic
🏢 Sierra Conservation Center Facility NPI 1710427778

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jamestown, CA

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

Practicing in Jamestown, 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 51106

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

21 Associated Practitioners
NPI 1023290988

Doctor of Dental Surgery

Dr. Russell Park , PhD

Psychologist - Clinical

NPI 1326020710

Doctor of Philosophy (Ph.D.)

Alejandro Martinez , SOCIAL WORKER

Student in an Organized Health Care Education/Training Program

NPI 1356022040

SOCIALWORKER

NPI 1356521041

Doctor of Dental Surgery

NPI 1386985794

Doctor of Philosophy (Ph.D.)

Dr. William Savage , MD

Internal Medicine - Hepatology

NPI 1457495020

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 16, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2013

Registered at 5100 OBYRNES FERRY RD, JAMESTOWN, CA 953279102 (Tel: 2099845291)

📍
Updated Business Mailing Address September 16, 2013

Registered at 5100 O'BYRNES FERRY ROAD, JAMESTOWN, CA 95327 (Tel: 2099845291)

👤
Provider Name / Credentials Updated September 16, 2013

Recorded as BLONG LY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2013

Dentist (License #51106 in CA)

🟢
Initial NPI Registration & Enumeration January 30, 2006

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: 1255302022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: September 16, 2013
Sole Proprietor: No

Mailing Address

5100 O'byrnes Ferry Road

Jamestown, CA 95327

Phone: 2099845291

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.