Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003264870 Individual Practitioner Female Practitioner

Dr. Eunkyo Cho , DDS

Dentist - General Practice • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Dr. Eunkyo Cho, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Rafael, CA. Practice services are available at 3110 KERNER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3110 Kerner Blvd

San Rafael, CA 949015411

Telephone 4154481500
Associated Practice Facility / Clinic
🏢 Marin Community Clinic Facility NPI 1154503399

Specialty Benchmarks & Practice Insights

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

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

Practicing in San Rafael, 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

CMS Verified: 2022-10-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 101962

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
Emmeline Lui , RDH

Dental Hygienist

NPI 1003454489

Registered Dental Hygienist

NPI 1013414507

Doctor of Osteopathic Medicine (D.O.)

Alexander Chavarria

Social Worker - Clinical

NPI 1013529338
Rohya Amiri

Dental Hygienist

NPI 1013646918
Lara Barth , FNP

Family Medicine

NPI 1023607397

Family Nurse Practitioner

Daisy Wu

Dentist - General Practice

NPI 1043883044

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 10, 2022

Registered at 3110 KERNER BLVD, SAN RAFAEL, CA 949015411 (Tel: 4154481500)

📍
Updated Business Mailing Address October 10, 2022

Registered at 1050 COURT ST APT 116, SAN RAFAEL, CA 949012955 (Tel: 5077794458)

👤
Provider Name / Credentials Updated October 10, 2022

Recorded as EUNKYO CHO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2022

Dentist (License #101962 in CA)

NPI Profile Active June 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2016

Registered at SUNY AT STONY BROOK HOSPITAL DENTISTRY, 151 WESTCHESTER HALL, STONY BROOK, NY 117948711 (Tel: 6314442557)

📍
Updated Business Mailing Address June 02, 2016

Registered at SUNY AT STONY BROOK HOSPITAL DENTISTRY, 151 WESTCHESTER HALL, STONY BROOK, NY 117948711 (Tel: 6314442557)

👤
Provider Name / Credentials Updated June 02, 2016

Recorded as EUNKYO CHO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 02, 2016

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: 1003264870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2016
Last Update: October 10, 2022
Sole Proprietor: No

Mailing Address

1050 Court St Apt 116

San Rafael, CA 949012955

Phone: 5077794458

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.