Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841064094 Individual Practitioner Male Practitioner

Dr. Ellis Chan Back , DDS

Dentist • Vallejo, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ellis Back, DDS is a registered healthcare professional specializing in Dentist in Vallejo, CA. Practice services are available at 3587 SONOMA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3587 Sonoma Blvd

Vallejo, CA 945902945

Telephone 9256834799
Associated Practice Facility / Clinic
🏢 Western Dental Services, Inc. Facility NPI 1316108657

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Vallejo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Vallejo, 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

CMS Verified: 2023-11-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 109664

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
Dr. Hanying Wang , DDS

Dentist - General Practice

NPI 1063950830

Doctor of Dental Surgery

Dr. Sapna Narang , DDS

Dentist - General Practice

NPI 1841607850

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2023

Registered at 3587 SONOMA BLVD, VALLEJO, CA 945902945 (Tel: 9256834799)

📍
Updated Business Mailing Address November 08, 2023

Registered at 962 EL CAJON DR, DANVILLE, CA 945261935 (Tel: 9256834799)

👤
Provider Name / Credentials Updated November 08, 2023

Recorded as ELLIS BACK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2023

Dentist (License #109664 in CA)

🟢
Initial NPI Registration & Enumeration November 08, 2023

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: 1841064094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2023
Last Update: November 08, 2023
Sole Proprietor: Yes

Mailing Address

962 El Cajon Dr

Danville, CA 945261935

Phone: 9256834799

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.