Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578747655 Individual Practitioner Male Practitioner

Dr. Kenneth Gray Eifert , DDS

Dentist - General Practice • San Quentin, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Eifert, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Quentin, CA. Practice services are available at 1 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Main St
San Quentin Sp

San Quentin, CA 94964

Telephone 4154541460
Fax 4154555165
Associated Practice Facility / Clinic
🏢 Total Renal Care Inc Facility NPI 1023438645

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Quentin, CA

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

Practicing in San Quentin, 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 35877

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

40 Associated Practitioners
NPI 1003015751

Doctor of Medicine (M.D.)

NPI 1033551593

Doctor of Psychology (Psy.D.)

Dr. Steven Gibbs , MD

Psychiatry & Neurology - Psychiatry

NPI 1043554116

Doctor of Medicine (M.D.)

NPI 1043622608

Doctor of Pharmacy (Pharm.D.)

Christopher Roach , PYSD

Psychologist - Clinical

NPI 1093152449
Dr. David Aitken , PsyD

Psychologist - Clinical

NPI 1093289860

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 24, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 24, 2007

Registered at 1 MAIN ST, SAN QUENTIN SP, SAN QUENTIN, CA 94964 (Tel: 4154541460)

📍
Updated Business Mailing Address December 24, 2007

Registered at 1 MAIN ST, SAN QUENTIN SP, SAN QUENTIN, CA 94964 (Tel: 4154541460)

👤
Provider Name / Credentials Updated December 24, 2007

Recorded as KENNETH EIFERT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 24, 2007

Dentist (License #35877 in CA)

🟢
Initial NPI Registration & Enumeration December 24, 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: 1578747655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 24, 2007
Last Update: December 24, 2007
Sole Proprietor: No

Mailing Address

1 Main St, San Quentin Sp

San Quentin, CA 94964

Phone: 4154541460

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.