VEACO MD DDS GEORGE DDS ARREDONDO DDS A DENTAL CORPORATION (NPI# 1063685303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063685303 |
| Entity Type | Organization |
| Organization Name | VEACO MD DDS GEORGE DDS ARREDONDO DDS A DENTAL CORPORATION |
| Other Organization Name | BROOKSIDE ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
3427 Deer Park Dr Sutie B Stockton CA 95219-2355 |
| Practice Telephone | 2099519045 |
| Practice Fax Number | 2099519047 |
| Mailing Telephone | 2099519045 |
| Mailing Fax Number | 2099519047 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2009-03-20 |
| Authorized Official Name | DR. NICOLAS S VEACO (PRESIDENT) |
| Authorized Official Telephone | 2099519045 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
C2845379 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Brookside Oral & Maxillofacial Surgery | Doing Business As Name - Organization |
| Street Address |
3427 DEER PARK DR SUTIE B |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821001314 | Dale E Stocking | Dentist | 3427 Deer Park Dr, Suite D, Stockton, CA 95219-2355 | 2006-08-14 |
| 1982843033 | Nicolas S. Veaco, M.d., D.d.s., A Professional Corporation | Dentist | 3427 Deer Park Dr, Ste B, Stockton, CA 95219-2355 | 2009-02-12 |
| 1033243423 | Thomas E Bianchi | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2007-03-15 |
| 1275669061 | Christopher D Parker | Dentist | 3427 Deer Park Dr, Suite D, Stockton, CA 95219-2355 | 2007-02-26 |
| 1790866309 | Moreno Dental Group, Pdc | Dentist | 3427 Deer Park Dr, Suite #c, Stockton, CA 95219-2355 | 2006-10-18 |
| 1598846230 | Janice Gale Moreno | Dentist | 3427 Deer Park Dr, Suite #c, Stockton, CA 95219-2355 | 2006-10-18 |
| 1356422000 | Michael Robert Moreno | Dentist | 3427 Deer Park Dr, Suite #c, Stockton, CA 95219-2355 | 2006-10-18 |
| 1083702674 | Matthew R. Stefanac | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-10-10 |
| 1689773145 | Dorene Neri | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-09-21 |
| 1447359294 | William J. Marweg | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| 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 |
|---|---|---|---|---|
| 1366479230 | Eric Boles Wall | Dentist | 6529 Inglewood Ave, A-1, Stockton, CA 95207-3864 | 2006-06-27 |
| 1649213174 | Jeffrey Christopher Payne | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2006-06-13 |
| 1376034587 | Jeremy Jacobs May, Dds, Inc. | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2018-05-23 |
| 1235500455 | Pablo Jacobo Dds Inc | Dentist | 1035 W Robinhood Dr, Stockton, CA 95207-5621 | 2015-10-14 |
| 1629414842 | Jeremy May | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219 | 2013-05-14 |
| 1861786634 | Elbert Choi | Dentist | 6529 Inglewood Ave, Suite A-1, Stockton, CA 95207-3864 | 2011-06-08 |
| 1982843033 | Nicolas S. Veaco, M.d., D.d.s., A Professional Corporation | Dentist | 3427 Deer Park Dr, Ste B, Stockton, CA 95219-2355 | 2009-02-12 |
| 1346403169 | Miraj Kishor Sanghvi | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2008-07-02 |
| 1699818872 | Bunch-payne, Oral and Maxillofacial Surgery | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2007-02-15 |
| 1992810337 | Nicolas Veaco | Dentist | 3427 Deer Park Dr, Suite B, Stockton, CA 95219-2355 | 2006-08-19 |
| Find all providers in STOCKTON | ||||
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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.