DR. DICK MAH HOM (NPI# 1053475806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053475806 |
| Entity Type | Individual |
| Full Name | DR. DICK MAH HOM |
| Credential | DDS |
| Practice Address |
1925 Parkside Dr Concord CA 94519 |
| Practice Telephone | 9256761440 |
| Practice Fax Number | 9256760313 |
| Mailing Telephone | 9256761440 |
| Mailing Fax Number | 9256760313 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30016206 | OH | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DC028329 | CA | Dental Providers |
| Street Address |
1925 PARKSIDE DR |
| City | CONCORD |
| State | CA |
| Zip Code | 94519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225101280 | Pritchard Yee Kang Lam | Dentist | 1925 Parkside Dr, Concord, CA 94519-2525 | 2006-11-16 |
| 1619245214 | Dick M Hom Dds & Pritchard Y Lam Dds Partnership | Dentist | 1925 Parkside Dr, Concord, CA 94519-2525 | 2011-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
| 1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
| 1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
| Find all providers in zip 94519 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600119 | Jason Michael Goldberg | Dentist | 8815 Christenbury Pkwy Ste 40, Concord, NC 28027-0261 | 2016-06-14 |
| 1225292790 | Pd Sharma Dmd Pa | Dentist | 5325 Vining St Nw, Suite 203, Concord, NC 28027-2942 | 2008-07-15 |
| 1417123456 | Daniel R Cook | Dentist | 130 Lake Concord Rd, Concord, NC 28025 | 2008-04-30 |
| 1225101280 | Pritchard Yee Kang Lam | Dentist | 1925 Parkside Dr, Concord, CA 94519-2525 | 2006-11-16 |
| 1588695316 | Central New Hampshire Oral Surgery, Pa | Dentist | 187 N State St, Concord, NH 03301-5020 | 2006-07-06 |
| 1114970241 | Richard J. Rosato | Dentist | 6 Loudon Rd, Suite 204, Concord, NH 03301-5321 | 2006-05-18 |
| 1245204064 | Robert J Galup | Dentist | 130 Lake Concord Rd Ne, Concord, NC 28025-1918 | 2006-02-16 |
| 1205825585 | Allen Robert Cail | Dentist | 801 Main St, Concord, MA 01742-3313 | 2005-10-19 |
| 1124559588 | Trinity Family Dentistry | Dentist | 6173 Bayfield Pkwy, Concord, NC 28027-7486 | 2017-03-27 |
| 1619245214 | Dick M Hom Dds & Pritchard Y Lam Dds Partnership | Dentist | 1925 Parkside Dr, Concord, CA 94519-2525 | 2011-12-09 |
| Find all providers in CONCORD | ||||
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| 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.