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Deactivated NPI 1265616403 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Frank Stone , DDS

Dentist • San Quentin, CA

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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. Charles Stone has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 24, 2007
NPI Deactivation Date July 21, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Stone, DDS was a registered Dentist practicing in San Quentin, CA. Throughout an active medical career spanning 15 years, Dr. Stone provided care at the practice location at 1 MAIN STREET until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

1 Main Street
San Quentin State Prison, Main Dental Clinic

San Quentin, CA 94964

Telephone 4154541460
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in San Quentin, CA

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

Practicing in San Quentin, 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 22111

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

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

7 Historical Events
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NPI Profile Deactivated July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active December 24, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 24, 2007

Registered at 1 MAIN STREET, SAN QUENTIN STATE PRISON, MAIN DENTAL CLINIC, SAN QUENTIN, CA 94964 (Tel: 4154541460)

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Updated Business Mailing Address December 24, 2007

Registered at 1 MAIN STREET, SAN QUENTIN STATE PRISON, MAIN DENTAL CLINIC, SAN QUENTIN, CA 94964 (Tel: 4154541460)

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Provider Name / Credentials Updated December 24, 2007

Recorded as CHARLES STONE, DDS

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

Dentist (License #22111 in CA)

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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: 1265616403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 24, 2007
Last Update: December 24, 2007
Deactivation Date: July 21, 2022

Mailing Address

1 Main Street, San Quentin State Prison, Main Dental Clinic

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.