Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124602677 Individual Practitioner Male Practitioner

Edward Pushkarev

Dentist • Temple, TX

Professional Overview & Biography Verified Profile Summary

Edward Pushkarev is a registered healthcare professional specializing in Dentist in Temple, TX. Practice services are available at 2320 S 31ST ST STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2320 S 31st St Ste 120

Temple, TX 765042429

Telephone 4845262460
Associated Practice Facility / Clinic
🏢 Karen Lynette Delaney Pllc Facility NPI 1447861802

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Temple, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Temple, TX (6851 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: 2022-07-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 38788

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

30 Associated Practitioners
Sarah Greenberg

Student in an Organized Health Care Education/Training Program

NPI 1013859818
Shreya Jha

Student in an Organized Health Care Education/Training Program

NPI 1033733019
NPI 1043791734

Doctor of Dental Medicine

NPI 1053135558

Registered Dental Hygienist, PHDHP

Emily Dengler

Student in an Organized Health Care Education/Training Program

NPI 1275487621
Michael Bassil

Student in an Organized Health Care Education/Training Program

NPI 1295435287

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 23, 2022

Registered at 2320 S 31ST ST STE 120, TEMPLE, TX 765042429 (Tel: 4845262460)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2022

Dentist (License #38788 in TX)

NPI Profile Active May 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2021

Registered at 511 E 3RD ST UNIT 301, BETHLEHEM, PA 180152096 (Tel: 4845262460)

📍
Updated Business Mailing Address May 11, 2021

Registered at 13149 ALTA VISTA WAY, SYLMAR, CA 913423462 (Tel: 3106898657)

👤
Provider Name / Credentials Updated May 11, 2021

Recorded as EDWARD PUSHKAREV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2021

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: 1124602677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2021
Last Update: July 23, 2022
Sole Proprietor: Yes

Mailing Address

13149 Alta Vista Way

Sylmar, CA 913423462

Phone: 3106898657

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.