Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639707623 Individual Practitioner Male Practitioner

Evan Mast

Dentist - General Practice • Elizabeth, NJ

Professional Overview & Biography Verified Profile Summary

Evan Mast is a registered healthcare professional specializing in Dentist - General Practice in Elizabeth, NJ. Practice services are available at 105 ELMORA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Elmora Ave

Elizabeth, NJ 072021614

Telephone 9084020878
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elizabeth, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
43 Specialists

Practicing in Elizabeth, NJ (4316 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: 2021-07-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02819700

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.

Secondary Practice Locations

1 Bay Ave

Montclair, NJ 070424837

Phone: 9734296000

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1093009821

Doctor of Dental Medicine

Dr. Jonathan Banker , DMD

Dentist - General Practice

NPI 1124173745

Doctor of Dental Medicine

Dr. Abraham Banker , DMD

Dentist - General Practice

NPI 1174678700

Doctor of Dental Medicine

NPI 1598229205
NPI 1639296460

Doctor of Dental Medicine

NPI 1679982227

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 12, 2021

Registered at 105 ELMORA AVE, ELIZABETH, NJ 072021614 (Tel: 9084020878)

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

Dentist (License #22DI02819700 in NJ)

NPI Profile Active March 27, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 27, 2020

Registered at 1 BAY AVE, MONTCLAIR, NJ 070424837 (Tel: 9734296000)

📍
Updated Business Mailing Address March 27, 2020

Registered at 302 FOXWOOD RD, UNION, NJ 070837941 (Tel: 9084188527)

👤
Provider Name / Credentials Updated March 27, 2020

Recorded as EVAN MAST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 27, 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: 1639707623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2020
Last Update: July 12, 2021
Sole Proprietor: No

Mailing Address

302 Foxwood Rd

Union, NJ 070837941

Phone: 9084188527

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.