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Active NPI 1932736774 Individual Practitioner Female Practitioner

Ebony Shardae Helaire

Dentist - General Practice • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Ebony Helaire is a registered healthcare professional specializing in Dentist - General Practice in Vallejo, CA. Practice services are available at 415 GEORGIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 Georgia St

Vallejo, CA 945906004

Telephone 7075582000
Associated Practice Facility / Clinic
🏢 La Clinica De La Raza Inc Facility NPI 1780606632

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: 2021-08-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 106815

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Eugene Luna , DDS

Dentist - General Practice

NPI 1043468457

Doctor of Dental Surgery

Claudia Gomez , RDH

Dental Hygienist

NPI 1194382051

Registered Dental Hygienist

Dr. Andres Gonzalez , DDS

Dentist - General Practice

NPI 1437871985

Doctor of Dental Surgery

NPI 1548355571

Doctor of Dental Surgery

Dr. Wini Luong , DDS

Dentist - General Practice

NPI 1588823819

Doctor of Dental Surgery

Edilyn Gurion , RDH

Dental Hygienist

NPI 1619321353

Registered Dental Hygienist

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 12, 2021

Registered at 415 GEORGIA ST, VALLEJO, CA 945906004 (Tel: 7075582000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2021

Dentist (License #106815 in CA)

NPI Profile Active March 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2020

Registered at 339 E LELAND RD, PITTSBURG, CA 945654911 (Tel: 9254311250)

📍
Updated Business Mailing Address March 23, 2020

Registered at 2108 MOKELUMNE DR, ANTIOCH, CA 945319057 (Tel: 5107556824)

👤
Provider Name / Credentials Updated March 23, 2020

Recorded as EBONY HELAIRE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 2020

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: 1932736774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2020
Last Update: August 12, 2021
Sole Proprietor: Yes

Mailing Address

2108 Mokelumne Dr

Antioch, CA 945319057

Phone: 5107556824

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.