Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629277900 Individual Practitioner Female Practitioner

Dr. Mai Xuan Ly , DDS

Dentist - General Practice • Tustin, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mai Ly, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tustin, CA. Practice services are available at 12561 RED HILL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12561 Red Hill Ave

Tustin, CA 927802832

Telephone 7148780597

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tustin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
89 Specialists

Practicing in Tustin, 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 55566

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 July 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2007

Registered at 12561 RED HILL AVE, TUSTIN, CA 927802832 (Tel: 7148780597)

📍
Updated Business Mailing Address July 16, 2007

Registered at 12561 RED HILL AVE, TUSTIN, CA 927802832 (Tel: 7148780597)

👤
Provider Name / Credentials Updated July 16, 2007

Recorded as MAI LY, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Dentist (License #55566 in CA)

🟢
Initial NPI Registration & Enumeration July 16, 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: 1629277900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2007
Last Update: July 16, 2007
Sole Proprietor: Yes

Mailing Address

12561 Red Hill Ave

Tustin, CA 927802832

Phone: 7148780597

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.