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Active NPI 1942989280 Individual Practitioner Male Practitioner

Dr. Kerolos George Khalil , DDS

Dentist - General Practice • Manteca, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kerolos Khalil, DDS is a registered healthcare professional specializing in Dentist - General Practice in Manteca, CA. Practice services are available at 2288 DANIELS ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2288 Daniels St

Manteca, CA 953376706

Telephone 2094565610
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Manteca, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
30 Specialists

Practicing in Manteca, 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

CMS Verified: 2023-09-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 109082

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

16 Associated Practitioners
Akshdeep Kaur Raked

Dentist - General Practice

NPI 1114738531
Nam Dinh

Dentist

NPI 1184119174
Spencer Kim

Dentist - Pediatric Dentistry

NPI 1184155400
NPI 1205117421

Doctor of Dental Medicine

Dr. Puja Shrestha , DDS

Dentist - General Practice

NPI 1245158591

Doctor of Dental Surgery

Dr. Mitchell Hong , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1346136785

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2023

Dentist (License #109082 in CA)

NPI Profile Active July 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2023

Registered at 2288 DANIELS ST, MANTECA, CA 953376706 (Tel: 2094565610)

📍
Updated Business Mailing Address July 13, 2023

Registered at 2180 JENNI LN, TRACY, CA 953779592

👤
Provider Name / Credentials Updated July 13, 2023

Recorded as KEROLOS KHALIL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2023

Dentist (License #10013859 in CA)

🟢
Initial NPI Registration & Enumeration July 13, 2023

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: 1942989280
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2023
Last Update: September 05, 2023
Sole Proprietor: Yes

Mailing Address

2180 Jenni Ln

Tracy, CA 953779592

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.