Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477032035 Individual Practitioner Female Practitioner

Dr. Sampada Jayant Deshpande , DDS

Dentist - General Practice • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Dr. Sampada Deshpande, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tacoma, WA. Practice services are available at 4811 WA TAU GA AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4811 Wa Tau Ga Ave Ne

Tacoma, WA 984221799

Telephone 2539279883
Fax 2539252153

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tacoma, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
146 Specialists

Practicing in Tacoma, WA (3345 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: 2020-05-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 60861386

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 103061

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1669574703

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 27, 2020

Registered at 4811 WA TAU GA AVE NE, TACOMA, WA 984221799 (Tel: 2539279883)

📍
Updated Business Mailing Address May 27, 2020

Registered at 2014 MILDRED ST W, UNIVERSITY PLACE, WA 984666134 (Tel: 2535660900)

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

Dentist (License #60861386 in WA)

📍
Updated Practice Location February 05, 2019

Registered at 5605 LAKEWOOD TOWNE CENTER BLVD SW STE B, LAKEWOOD, WA 98499 (Tel: 2532004706)

📍
Updated Business Mailing Address February 05, 2019

Registered at 5605 LAKEWOOD TOWNE CENTER BLVD SW STE B, LAKEWOOD, WA 984993855 (Tel: 2532004706)

📍
Updated Business Mailing Address September 19, 2018

Registered at 2103 MCHENRY AVE STE C, MODESTO, CA 953503264 (Tel: 2094359550)

NPI Profile Active August 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2018

Registered at 2103 MCHENRY AVE STE C, MODESTO, CA 953503264 (Tel: 2094359550)

📍
Updated Business Mailing Address August 14, 2018

Registered at 3595 GRANADA AVE UNIT 149, SANTA CLARA, CA 950513482 (Tel: 6504950795)

👤
Provider Name / Credentials Updated August 14, 2018

Recorded as SAMPADA DESHPANDE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2018

Dentist (License #103061 in CA)

🟢
Initial NPI Registration & Enumeration August 14, 2018

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: 1477032035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2018
Last Update: May 27, 2020
Sole Proprietor: Yes

Mailing Address

2014 Mildred St W

University Place, WA 984666134

Phone: 2535660900

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.