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Active NPI 1538400650 Individual Practitioner Male Practitioner

Dr. Jed Ryan Antolin , DDS

Dentist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jed Ryan Antolin, DDS is a registered healthcare professional specializing in Dentist in Riverside, CA. Practice services are available at 3667 ARLINGTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3667 Arlington Ave

Riverside, CA 925063939

Telephone 9516846600
Associated Practice Facility / Clinic
🏢 Hon V Cao Dds Inc Facility NPI 1164510004

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
151 Specialists

Practicing in Riverside, CA (15331 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 62150

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1740352129

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 March 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2013

Registered at 3667 ARLINGTON AVE, RIVERSIDE, CA 925063939 (Tel: 9516846600)

📍
Updated Business Mailing Address March 14, 2013

Registered at 36289 CHERRYWOOD DR, YUCAIPA, CA 923995730

👤
Provider Name / Credentials Updated March 14, 2013

Recorded as JED RYAN ANTOLIN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2013

Dentist (License #62150 in CA)

🟢
Initial NPI Registration & Enumeration March 14, 2013

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: 1538400650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2013
Last Update: March 14, 2013
Sole Proprietor: No

Mailing Address

36289 Cherrywood Dr

Yucaipa, CA 923995730

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.