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Active NPI 1992846430 Individual Practitioner Female Practitioner

Dr. Constanza Montejo-Kadera , DDS

Dentist - General Practice • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Dr. Constanza Montejo-Kadera, 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 4155268559
Fax 4155268556
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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 54018

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dentist
54018 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Eunkyo Cho , DDS

Dentist - General Practice

NPI 1003264870

Doctor of Dental Surgery

Emmeline Lui , RDH

Dental Hygienist

NPI 1003454489

Registered Dental Hygienist

Alexander Chavarria

Social Worker - Clinical

NPI 1013529338
Dr. Marissa Wang , DMD

Dentist - General Practice

NPI 1073193348

Doctor of Dental Medicine

Joanna Gobea , FNP

Nurse Practitioner - Family

NPI 1083389019

Family Nurse Practitioner

NPI 1114244175

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2016

Registered at 3110 KERNER BLVD, SAN RAFAEL, CA 949015411 (Tel: 4155268559)

📍
Updated Business Mailing Address April 01, 2016

Registered at 3110 KERNER BLVD, SAN RAFAEL, CA 949015411 (Tel: 4155268559)

👤
Provider Name / Credentials Updated April 01, 2016

Recorded as CONSTANZA MONTEJO-KADERA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Dentist (License #54018 in CA)

🟢
Initial NPI Registration & Enumeration February 09, 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: 1992846430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2007
Last Update: April 01, 2016
Sole Proprietor: No

Mailing Address

3110 Kerner Blvd

San Rafael, CA 949015411

Phone: 4155268559

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.