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Active NPI 1366533358 Individual Practitioner Female Practitioner

Dr. Editha Legaspi Boongaling , DMD

Dentist - General Practice • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Dr. Editha Boongaling, DMD is a registered healthcare professional specializing in Dentist - General Practice in Vallejo, CA. Practice services are available at 2900 SONOMA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2900 Sonoma Blvd
Suite A

Vallejo, CA 94590

Telephone 7075528684
Fax 7075522980
Associated Practice Facility / Clinic
🏢 Dr. Day Dental Office, Apc Facility NPI 1336328525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
59 Specialists

Practicing in Vallejo, 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

CMS Verified: 2019-12-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 40653

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License CA 40653

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.

Secondary Practice Locations

450 Sutter St Rm 1426

San Francisco, CA 941084010

Phone: 4154343088

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1659499226

Doctor of Chiropractic

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 09, 2018

Registered at 2900 SONOMA BLVD, SUITE A, VALLEJO, CA 94590 (Tel: 7075528684)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2018

Dentist (License #40653 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2900 SONOMA BLVD, SUITE A, VALLEJO, CA 945903810 (Tel: 7075528684)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2900 SONOMA BLVD, SUITE A, VALLEJO, CA 945903810 (Tel: 7075528684)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDITHA BOONGALING, DMD

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

Dentist (License #40653 in CA)

🟢
Initial NPI Registration & Enumeration September 27, 2006

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: 1366533358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: December 17, 2019
Sole Proprietor: No

Mailing Address

2900 Sonoma Blvd, Suite A

Vallejo, CA 945903810

Phone: 7075528684

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.