DR. DAVID THOMAS FOSDAHL (NPI# 1053460121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053460121 |
| Entity Type | Individual |
| Full Name | DR. DAVID THOMAS FOSDAHL |
| Credential | DDS |
| Practice Address |
20600 Lake Chabot Rd Suite 101 Castro Valley CA 94546 |
| Practice Telephone | 5105828399 |
| Practice Fax Number | 5105823564 |
| Mailing Telephone | 5105828399 |
| Mailing Fax Number | 5105823564 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 031783 | CA | Dental Providers |
| Street Address |
20600 LAKE CHABOT RD SUITE 101 |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194706523 | Michael Craig Preston | Dentist | 20600 Lake Chabot Rd, Suite 103, Castro Valley, CA 94546-5432 | 2005-11-11 |
| 1912565151 | Nicholas Tj Yatco Dds Inc | Clinic/Center | 20600 Lake Chabot Rd, Castro Valley, CA 94546-5432 | 2019-06-03 |
| 1003362955 | Shen and Busquets Dental Partnership | Dentist | 20600 Lake Chabot Rd, Ste 205, Castro Valley, CA 94546-5432 | 2016-08-31 |
| 1922291780 | Donald Terry Esslinger | Dentist | 20600 Lake Chabot Rd, Castro Valley, CA 94546-5432 | 2007-08-23 |
| 1104980309 | Carolyn Langer | Dentist | 20600 Lake Chabot Rd, Suite 201, Castro Valley, CA 94546 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275805574 | Nazish Mir | Dentist | 20074 Rawhide Way, Castro Valley, CA 94552-5117 | 2012-02-01 |
| 1558593590 | Liza Amatya | Dentist | 22819 Lakemont Pl, Castro Valley, CA 94552-5420 | 2009-08-09 |
| 1104080522 | Vijay Munagala | Dentist | 20212 Redwood Rd Ste 101, Castro Valley, CA 94546-4324 | 2008-07-15 |
| 1811191547 | Ted Krzywicki | Dentist | 20600 Lake Chabot Rd Ste 102, Castro Valley, CA 94546-5432 | 2007-06-14 |
| 1548470438 | Steven Albert Rothi | Dentist | 21981 Redwood Rd, Castro Valley, CA 94546-6437 | 2007-05-22 |
| 1902020746 | Heidi Kathryn Hausauer | Dentist | 3203 Castro Valley Blvd, Castro Valley, CA 94546-5513 | 2007-04-12 |
| 1942326939 | Mark S Murphy | Dentist | 2380 Grove Way, Castro Valley, CA 94546-7043 | 2007-03-21 |
| 1497886691 | Wayman Tang | Dentist | 4027 E Castro Valley Blvd, Castro Valley, CA 94552-4820 | 2007-03-08 |
| 1174650980 | Larry David Tabor | Dentist | 20600 Lake Chabot Rd Ste 203, Castro Valley, CA 94546-5432 | 2007-02-28 |
| 1578698783 | Lillian Franchot Dashiell | Dentist | 3779 E Castro Valley Blvd, Castro Valley, CA 94552-4835 | 2007-02-21 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on DR. DAVID THOMAS FOSDAHL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.