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Active NPI 1538182084 Individual Practitioner Male Practitioner

Dr. Evan Schaffer Disick , DDS

Dentist - General Practice • Mill Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Evan Disick, DDS is a registered healthcare professional specializing in Dentist - General Practice in Mill Valley, CA. Practice services are available at 591 REDWOOD HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

591 Redwood Hwy
Building 2000, Suite 2110

Mill Valley, CA 949416001

Telephone 4153814321
Fax 4153814056
Associated Practice Facility / Clinic
🏢 Janice Tomita Pt & Associates Facility NPI 1902871049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mill Valley, CA

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

Practicing in Mill Valley, 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 51917

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

1 Associated Practitioners
Dr. Ritu Disick , DDS

Dentist - General Practice

NPI 1770777849

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 591 REDWOOD HWY, BUILDING 2000, SUITE 2110, MILL VALLEY, CA 949416001 (Tel: 4153814321)

📍
Updated Business Mailing Address July 08, 2007

Registered at 591 REDWOOD HWY, BUILDING 2000, SUITE 2110, MILL VALLEY, CA 949416001 (Tel: 4153814321)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EVAN DISICK, D.D.S.

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

Dentist (License #51917 in CA)

🟢
Initial NPI Registration & Enumeration July 25, 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: 1538182084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

591 Redwood Hwy, Building 2000, Suite 2110

Mill Valley, CA 949416001

Phone: 4153814321

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.