Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174666762 Deactivated / Inactive NPI Male Practitioner

Dr. Greg Peter Mlynarczyk , 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. Greg Mlynarczyk has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2007
NPI Deactivation Date January 04, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Greg Mlynarczyk, DDS was a registered Dentist practicing in Santa Rosa, CA. Throughout an active medical career spanning 11 years, Dr. Mlynarczyk provided care at the practice location at 1100 SONOMA AVE until profile deactivation on 2018-01-04.

Practice Location & Contact Primary Location

Practice Address

1100 Sonoma Ave
Suite A2

Santa Rosa, CA 954058901

Telephone 7075270363
Fax 7075276735
Associated Practice Facility / Clinic
🏢 John I. Rich, Dds, Inc. Facility NPI 1861413049

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 23353

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

2 Associated Practitioners
NPI 1235578386
NPI 1427398882

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 04, 2018

Record deactivated on January 04, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1100 SONOMA AVE, SUITE A2, SANTA ROSA, CA 954058901 (Tel: 7075270363)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1100 SONOMA AVE, SUITE A2, SANTA ROSA, CA 954058901 (Tel: 7075270363)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GREG MLYNARCZYK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #23353 in CA)

🟢
Initial NPI Registration & Enumeration February 14, 2007

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. Greg Mlynarczyk. Be the first to share your experience!

Sign in to leave a review for Dr. Greg Mlynarczyk

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

NPI Administrative Meta

NPI Number: 1174666762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2007
Last Update: July 08, 2007
Deactivation Date: January 04, 2018

Mailing Address

1100 Sonoma Ave, Suite A2

Santa Rosa, CA 954058901

Phone: 7075270363

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.