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Active NPI 1669648580 Individual Practitioner Male Practitioner

Dr. Kenechukwu Obidigwe Eze , DDS

Dentist • Sac, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenechukwu Eze, DDS is a registered healthcare professional specializing in Dentist in Sac, CA. Practice services are available at 6030 S. LAND PARK DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6030 S. Land Park Dr.

Sac, CA 95822

Telephone 9165005437
Fax 9162447004
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Sac, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Sac, 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

CMS Verified: 2020-11-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 56954

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 29400

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 56954

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.

Secondary Practice Locations

5150 Montana Ave

El Paso, TX 799034904

Phone: 9157710886

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location April 10, 2024

Registered at 6030 S. LAND PARK DR., SAC, CA 95822 (Tel: 9165005437)

📍
Updated Business Mailing Address April 10, 2024

Registered at 6030 S. LAND PARK DR., SAC, CA 95822 (Tel: 9165005437)

👤
Provider Name / Credentials Updated April 10, 2024

Recorded as KENECHUKWU EZE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2024

Dentist (License #29400 in TX)

📍
Updated Practice Location November 16, 2020

Registered at 1580 HOWE AVE, SACRAMENTO, CA 958253358 (Tel: 9165294974)

📍
Updated Business Mailing Address November 16, 2020

Registered at 8757 AUBURN FOLSOM RD UNIT 2524, GRANITE BAY, CA 957460371

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2020

Dentist (License #56954 in CA)

NPI Profile Active February 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2014

Registered at 5150 MONTANA AVE, EL PASO, TX 799034904 (Tel: 9157710886)

📍
Updated Business Mailing Address February 10, 2014

Registered at 5150 MONTANA AVE, EL PASO, TX 799034904 (Tel: 9157710886)

👤
Provider Name / Credentials Updated February 10, 2014

Recorded as KENECHUKWU EZE, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2014

Dentist (License #29400 in TX)

🟢
Initial NPI Registration & Enumeration April 30, 2008

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: 1669648580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2008
Last Update: April 10, 2024
Sole Proprietor: No

Mailing Address

6030 S. Land Park Dr.

Sac, CA 95822

Phone: 9165005437

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.