Kenneth Gray Eifert, DDS
General Practice Dentistry · San Quentin, CA
Practice location
1 Main StSan Quentin SP
San Quentin, CA 94964
- Phone
- (415) 454-1460
- Fax
- (415) 455-5165
NPI record
- NPI
- 1578747655
- Entity type
- Individual (Type 1)
- Enumeration date
- December 24, 2007
- Last updated
- December 24, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
35877 | CA |
About Dr. Eifert
Kenneth Gray Eifert, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1 Main St, San Quentin SP, San Quentin, CA 94964. The NPI number 1578747655 was assigned on December 24, 2007 and the record was last updated on December 24, 2007.
Dr. Eifert lists a license in the registry: #35877 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kenneth Gray Eifert, DDS?
The NPI number is 1578747655.
What is the phone number of Dr. Eifert?
The phone number listed for the practice location is (415) 454-1460.
Where is Dr. Eifert located?
1 Main St, San Quentin SP, San Quentin, CA 94964.
What is the taxonomy code for Dr. Eifert?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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