Dr. Stephen Nelson Jaffe , DDS
Dentist - General Practice • San Rafael, CA
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. Stephen Jaffe has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Stephen Jaffe, DDS was a registered Dentist - General Practice practicing in San Rafael, CA. Throughout an active medical career spanning 17 years, Dr. Jaffe provided care at the practice location at 1721 5TH AVE until profile deactivation on 2025-09-25.
Practice Location & Contact Primary Location
1721 5th Ave
Suite A
San Rafael, CA 949011820
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in San Rafael, CA
Practicing in San Rafael, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 25, 2025
NPI status registered as active in NPPES database
Registered at 1721 5TH AVE, SUITE A, SAN RAFAEL, CA 949011820 (Tel: 4154534720)
Registered at 1721 5TH AVE, SUITE A, SAN RAFAEL, CA 949011820 (Tel: 4154534720)
Recorded as STEPHEN JAFFE, DDS
Dentist (License #17943 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1721 5th Ave, Suite A
San Rafael, CA 949011820
Phone: 4154534720
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