Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003787151 Individual Practitioner Male Practitioner

Dr. Yonathan Kohanbash , DDS

Dentist - General Practice • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Dr. Yonathan Kohanbash, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gallup, NM. Practice services are available at 802 US HIGHWAY 491 STE 802 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

802 Us Highway 491 Ste 802

Gallup, NM 873015388

Telephone 5058625018
Associated Practice Facility / Clinic
🏢 Tasker Hatch Rowan Llc Facility NPI 1013353127

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
14 Specialists

Practicing in Gallup, NM (761 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: 2025-09-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 112365

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.

Secondary Practice Locations

714 Tiverton Ave

Los Angeles, CA 900958361

Phone: 3102062904

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1114281508

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 September 15, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 15, 2025

Registered at 802 US HIGHWAY 491 STE 802, GALLUP, NM 873015388 (Tel: 5058625018)

📍
Updated Business Mailing Address September 15, 2025

Registered at 5929 WILBUR AVE, TARZANA, CA 913561325

👤
Provider Name / Credentials Updated September 15, 2025

Recorded as YONATHAN KOHANBASH, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2025

Dentist (License #112365 in CA)

🟢
Initial NPI Registration & Enumeration September 12, 2025

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: 1003787151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2025
Last Update: September 15, 2025
Sole Proprietor: Yes

Mailing Address

5929 Wilbur Ave

Tarzana, CA 913561325

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.