Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1003048307 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Glenn Scott , DDS

Dentist • Santa Rosa, 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. Michael Scott has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2009
NPI Deactivation Date June 14, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Scott, DDS was a registered Dentist practicing in Santa Rosa, CA. Throughout an active medical career spanning 12 years, Dr. Scott provided care at the practice location at 1820 SONOMA AVE until profile deactivation on 2021-06-14.

Practice Location & Contact Primary Location

Practice Address

1820 Sonoma Ave
Suite 40

Santa Rosa, CA 954056616

Telephone 7075427223
Fax 7075427226
Associated Practice Facility / Clinic
🏢 Saeidi Dds Inc Facility NPI 1487287843

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
105 Specialists

Practicing in Santa Rosa, 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 20783

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

1 Associated Practitioners
Dr. Michael Rice , DDS

Dentist - General Practice

NPI 1619224300

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated June 14, 2021

Record deactivated on June 14, 2021

NPI Profile Active August 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2009

Registered at 1820 SONOMA AVE, SUITE 40, SANTA ROSA, CA 954056616 (Tel: 7075427223)

📍
Updated Business Mailing Address August 20, 2009

Registered at 1820 SONOMA AVE, SUITE 40, SANTA ROSA, CA 954056616 (Tel: 7075427223)

👤
Provider Name / Credentials Updated August 20, 2009

Recorded as MICHAEL SCOTT, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2009

Dentist (License #20783 in CA)

🟢
Initial NPI Registration & Enumeration August 20, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Michael Scott. Be the first to share your experience!

Sign in to leave a review for Dr. Michael Scott

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003048307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2009
Last Update: August 20, 2009
Deactivation Date: June 14, 2021

Mailing Address

1820 Sonoma Ave, Suite 40

Santa Rosa, CA 954056616

Phone: 7075427223

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.