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Active NPI 1164625075 Individual Practitioner Male Practitioner

Dr. Erwin Tamayo Carracedo , DMD

Dentist - General Practice • Santa Rosa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Erwin Carracedo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Santa Rosa, CA. Practice services are available at 1331 GUERNEVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1331 Guerneville Rd
Suite G

Santa Rosa, CA 954034162

Telephone 6507429092
Fax 6507429093
Associated Practice Facility / Clinic
🏢 Erwin T Carracedo Dmd, Inc Facility NPI 1619292117

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
116 Specialists

Practicing in Santa Rosa, 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 40417

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.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active March 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2010

Registered at 1331 GUERNEVILLE RD, SUITE G, SANTA ROSA, CA 954034162 (Tel: 6507429092)

📍
Updated Business Mailing Address March 29, 2010

Registered at 3540 CALLAN BLVD., SUITE 100, SOUTH SAN FRANCISCO, CA 94080 (Tel: 6507429092)

👤
Provider Name / Credentials Updated March 29, 2010

Recorded as ERWIN CARRACEDO, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2010

Dentist (License #40417 in CA)

🟢
Initial NPI Registration & Enumeration June 07, 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: 1164625075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2007
Last Update: March 29, 2010
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3540 Callan Blvd., Suite 100

South San Francisco, CA 94080

Phone: 6507429092

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.