DR. KENNETH GRAY EIFERT DDS
NPI 1578747655
Dentist - General Practice in San Quentin, CA

Active since December 24, 2007
1 MAIN ST, SAN QUENTIN SP, SAN QUENTIN, CA 94964(415) 454-1460(415) 455-5165 Get Directions Write a Review

NPPES record last updated: December 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kenneth Gray Eifert Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH GRAY EIFERT DDS (NPI 1578747655) is an individual general practice provider in San Quentin, California, licensed in California (35877) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1578747655
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH GRAY EIFERTCredential: DDS
Location Address1 MAIN ST, SAN QUENTIN SPSan Quentin, CA 94964
Mailing Address1 Main St, San Quentin SpSan Quentin, CA 94964 · (415) 454-1460 · Fax (415) 455-5165
Fax(415) 455-5165
Sole ProprietorNo
Enumeration DateDecember 24, 2007
NPI 1578747655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 35877
Definition
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.
1 MAIN ST, San Quentin, CA 94964

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1 MAIN ST
SAN QUENTIN, CA 94964
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST
SAN QUENTIN, CA 94964
Psychiatry & Neurology (Psychiatry)
1 MAIN ST, CALIFORNIA STATE PRISON, MENTAL HEALTH DEPT.
SAN QUENTIN, CA 94964
Psychologist (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST, SAN QUENTIN STATE PRISON
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST, CHSB RM 2123
SAN QUENTIN, CA 94964
Social Worker (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Eifert's NPI number?

The NPI number for Kenneth Eifert is 1578747655. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Kenneth Eifert located?

Kenneth Eifert practices at 1 Main St San Quentin Sp, San Quentin, CA 94964. The listed phone number is (415) 454-1460.

What is Kenneth Eifert's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth Eifert was last updated on December 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.