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Deactivated NPI 1770777849 Deactivated / Inactive NPI Female Practitioner

Dr. Ritu Sood Disick , DDS

Dentist - General Practice • Mill Valley, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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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. Ritu Disick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2007
NPI Deactivation Date March 26, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Ritu Disick, DDS was a registered Dentist - General Practice practicing in Mill Valley, CA. Throughout an active medical career spanning 19 years, Dr. Disick provided care at the practice location at 591 REDWOOD HWY until profile deactivation on 2026-03-26.

Practice Location & Contact Primary Location

Practice Address

591 Redwood Hwy
Suite 2110

Mill Valley, CA 949416001

Telephone 4153814321
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 52004

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. Evan Disick , DDS

Dentist - General Practice

NPI 1538182084

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 26, 2026

Record deactivated on March 26, 2026

NPI Profile Active August 31, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2007

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

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Updated Business Mailing Address August 31, 2007

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

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Provider Name / Credentials Updated August 31, 2007

Recorded as RITU DISICK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2007

Dentist (License #52004 in CA)

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Initial NPI Registration & Enumeration August 31, 2007

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: 1770777849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2007
Last Update: August 31, 2007
Deactivation Date: March 26, 2026

Mailing Address

591 Redwood Hwy, 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.