Dr. Edward Dergosits , DDS
Dentist - General Practice • Mill Valley, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Dergosits has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Edward Dergosits, DDS was a registered Dentist - General Practice practicing in Mill Valley, CA. Throughout an active medical career spanning 15 years, Dr. Dergosits provided care at the practice location at 295 MILLER AVE STE B until profile deactivation on 2022-10-26.
Practice Location & Contact Primary Location
295 Miller Ave Ste B
Mill Valley, CA 949412884
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Mill Valley, CA
Practicing in Mill Valley, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 26, 2022
NPI status registered as active in NPPES database
Registered at 295 MILLER AVE STE B, MILL VALLEY, CA 949412884 (Tel: 4153836383)
Registered at 295 MILLER AVE STE B, MILL VALLEY, CA 949412884 (Tel: 4153836383)
Recorded as EDWARD DERGOSITS, D.D.S
Dentist (License #29580 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
295 Miller Ave Ste B
Mill Valley, CA 949412884
Phone: 4153836383
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