DR. P. SCOTT FAVERO (NPI# 1093885311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093885311 |
| Entity Type | Individual |
| Full Name | DR. P. SCOTT FAVERO |
| Credential | D.M.D., M.S. |
| Practice Address |
1603 Eureka Rd Suite 400 Roseville CA 95661-3028 |
| Practice Telephone | 9167822332 |
| Mailing Telephone | 9167822332 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
29588 | CA | Dental Providers |
| Street Address |
1603 EUREKA RD SUITE 400 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881775575 | Fredrick Anthony Correa | Dentist | 1603 Eureka Rd, Suite 300, Roseville, CA 95661-3028 | 2006-10-18 |
| 1245618743 | Fredrick A Correa Dds Inc | Dentist | 1603 Eureka Rd, Roseville, CA 95661-3028 | 2015-05-15 |
| 1285851352 | Bryan Gardner Judd | Dentist | 1603 Eureka Rd, Suite 200, Roseville, CA 95661-3028 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1114436441 | Christian Favero | Dentist | 1603 Eureka Rd Ste 400, Roseville, CA 95661-3028 | 2017-09-29 |
| 1225432685 | Mark H Holt | Dentist | 1421 Secret Ravine Pkwy Ste 121, Roseville, CA 95661-6045 | 2014-10-14 |
| 1295171197 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 1230 Roseville Pkwy, Ste 120, Roseville, CA 95678-3586 | 2013-05-17 |
| 1922380823 | Ryan Raymond Plewe | Dentist | 10357 Fairway Dr Ste 100, Roseville, CA 95678-3544 | 2011-09-15 |
| 1154610921 | Aida Ameri | Dentist | 2012 Katherine Pl, Roseville, CA 95678-1015 | 2011-04-01 |
| 1639362288 | Marc C. Dunn | Dentist | 10012 Foothills Blvd, Roseville, CA 95747-7102 | 2007-08-27 |
| 1295930006 | Garri Tsibel | Dentist | 1565 Eureka Rd, Roseville, CA 95661-3045 | 2007-06-20 |
| 1568532323 | Steven W Frank | Dentist | 4021 Woodcreek Oaks Blvd, Suite 100, Roseville, CA 95747 | 2006-11-09 |
| 1710067095 | Prasanna Kumar Shivapuja | Dentist | 25979 Kelly Rd, Roseville, MI 48066-4941 | 2006-10-17 |
| Find all providers in ROSEVILLE | ||||
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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.