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Active NPI 1477642403 Individual Practitioner Male Practitioner

Dr. Eugene Sukhorukov , DDS

Dentist - General Practice • La Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Sukhorukov, DDS is a registered healthcare professional specializing in Dentist - General Practice in La Mesa, CA. Practice services are available at 8881 FLETCHER PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8881 Fletcher Pkwy
#350

La Mesa, CA 919423134

Telephone 6194694607
Fax 6194694608
Associated Practice Facility / Clinic
🏢 Grossmont Surgery Center Lp Facility NPI 1326004110

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
73 Specialists

Practicing in La Mesa, 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 49416

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

32 Associated Practitioners
Dr. Michelle Cao , MD

Family Medicine

NPI 1003129842

Doctor of Medicine (M.D.)

Hoda Melissa Kashikar , RN, MSN, NP-C

Nurse Practitioner - Family

NPI 1033562723

Registered Nurse, Master of Science in Nursing, Nurse Practitioner (Certified)

Dr. Kambiz Ghandehari , DDS

Dentist - General Practice

NPI 1063523355

Doctor of Dental Surgery

Erica Ragen , PA-C

Physician Assistant

NPI 1124454426

Physician Assistant (Certified)

NPI 1144220997

Doctor of Medicine (M.D.), Master of Public Health

NPI 1174581458

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 8881 FLETCHER PKWY, #350, LA MESA, CA 919423134 (Tel: 6194694607)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8881 FLETCHER PKWY, #350, LA MESA, CA 919423134 (Tel: 6194694607)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EUGENE SUKHORUKOV, DDS

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

Dentist (License #49416 in CA)

🟢
Initial NPI Registration & Enumeration October 11, 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: 1477642403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

8881 Fletcher Pkwy, #350

La Mesa, CA 919423134

Phone: 6194694607

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.