DR. MISTY AUTUMN HENNE-BHULLAR


Address: 3219 Mchenry Ave, Modesto, CA 95350-1457
Phone: 2094098987

DR. MISTY AUTUMN HENNE-BHULLAR (NPI# 1083130538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083130538
Entity Type Individual
Full Name DR. MISTY AUTUMN HENNE-BHULLAR
Credential D.M.D.
Practice Address 3219 Mchenry Ave
Modesto
CA 95350-1457
Mailing Address 18693 Carriage Hill Dr
San Jose
CA 95120-1017
Practice Telephone 2094098987
Enumeration Date 2017-08-16
Last Update Date 2017-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
101918 CA Dental Providers

Office Location

Street Address 3219 MCHENRY AVE
City MODESTO
State CA
Zip Code 95350-1457

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
Find all providers in zip 95350

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639658305 Rigel Smart Dentist 103 Mchenry Ave, Modesto, CA 95354-0541 2018-08-13
1801373220 Nan Xiang Dentist 2217 Coffee Rd # A, Modesto, CA 95355-2307 2018-07-27
1699261495 Kwang Min Lim Dentist 1429 College Ave Ste D, Modesto, CA 95350-4046 2018-07-03
1558872077 Franklin Cordero Dmd, Inc. Dentist 1207 14th St, Modesto, CA 95354-1005 2017-10-24
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1811352404 Chahal Dental Corporation Dentist 2217 Coffee Rd, Suite A, Modesto, CA 95355-2307 2015-12-23
1366839755 Hillock Family Dental Inc. Dentist 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 2015-04-23
1548608425 Ajaykumar N Patel Dentist 3430 Tully Rd Ste 21, Modesto, CA 95350-0840 2013-06-12
1992054308 Satyen Desai Dental Corporation Dentist 1404 Mitchell Rd., Modesto, CA 95351-4948 2012-08-30
1972850303 Kevin P Isenhower Dentist 1213 Coffee Rd Ste B, Modesto, CA 95355-4229 2012-08-03
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95350

Improve Information

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Dataset Information

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.

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