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KEVIN EWERT DDS
NPI 1619442472
Dentist in Crestline, CA

Active since October 09, 2018
580 FOREST SHADE RD, CRESTLINE, CA 92325(909) 338-7731 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Ewert Dds NPPES

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

KEVIN EWERT DDS (NPI 1619442472) is an individual dentist in Crestline, California, licensed in California (103141) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1619442472
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN EWERTCredential: DDS
Location Address580 FOREST SHADE RDCrestline, CA 92325
Mailing AddressPo Box 4093Crestline, CA 92325-4093
Phone(909) 338-7731
Sole ProprietorYes
Enumeration DateOctober 9, 2018
✔ NPI 1619442472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 103141
Definition
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.
580 FOREST SHADE RD, Crestline, CA 92325
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Other Providers at the Same Location NPPES

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

MR. JEFFREY LIND MARSHALL RPH
Pharmacist
580 FOREST SHADE RD, SUITE 7
CRESTLINE, CA 92325
San Bernardino County (909) 338-1875

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 Kevin Ewert's NPI number?

The NPI number for Kevin Ewert is 1619442472. It was assigned to this individual provider in the NPPES registry on October 9, 2018.

Where is Kevin Ewert located?

Kevin Ewert practices at 580 Forest Shade Rd, Crestline, CA 92325. The listed phone number is (909) 338-7731.

What is Kevin Ewert's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kevin Ewert was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.