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Active NPI 1619857786 Individual Practitioner Male Practitioner

Julian Conejo Gutierrez

Dentist • Malvern, PA

Professional Overview & Biography Verified Profile Summary

Julian Conejo Gutierrez is a registered healthcare professional specializing in Dentist in Malvern, PA. Practice services are available at 108 FORESIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 Foreside Rd

Malvern, PA 193550048

Telephone 2675350585

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Malvern, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Malvern, PA (3554 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: 2025-09-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS045312

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 08, 2025

NPI status registered as active in NPPES database

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Updated Practice Location September 08, 2025

Registered at 108 FORESIDE RD, MALVERN, PA 193550048 (Tel: 2675350585)

📍
Updated Business Mailing Address September 08, 2025

Registered at 108 FORESIDE RD, MALVERN, PA 193550048 (Tel: 2675350585)

👤
Provider Name / Credentials Updated September 08, 2025

Recorded as JULIAN CONEJO GUTIERREZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2025

Dentist (License #DS045312 in PA)

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Initial NPI Registration & Enumeration September 08, 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: 1619857786
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2025
Last Update: September 08, 2025
Sole Proprietor: Yes

Mailing Address

108 Foreside Rd

Malvern, PA 193550048

Phone: 2675350585

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.