ERIC SCOTT MCLEOD (NPI# 1104994474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104994474 |
| Entity Type | Individual |
| Full Name | ERIC SCOTT MCLEOD |
| Credential | DDS |
| Practice Address |
43000 Midway Ave Bldg 595, Marine Corps Recruit Depot San Diego CA 92140-5692 |
| Mailing Address |
14452 Corte Morea San Diego CA 92129-3812 |
| Practice Telephone | 6195244009 |
| Mailing Telephone | 8584848210 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
4584 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336776418 | Eric Mcleod | Student in an Organized Health Care Education/Training Program | 1900 E 4th St, Santa Ana, CA 92705-3910 | 2020-03-26 |
| Street Address |
43000 MIDWAY AVE BLDG 595, MARINE CORPS RECRUIT DEPOT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92140-5692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205803566 | Carl Erik Opsahl | Dentist | 43000 Midway Ave, San Diego, CA 92140-5692 | 2006-03-07 |
| 1114561198 | Jesse Huston | Dentist | 43000 Midway Ave, San Diego, CA 92140-5692 | 2019-11-01 |
| 1659876852 | Charles William Bruchu | Dentist | 43000 Midway Ave, San Diego, CA 92140-5692 | 2018-03-28 |
| 1437581899 | Eric Michael Howard | Dentist | 43000 Midway Ave, San Diego, CA 92140-5692 | 2013-08-07 |
| 1992836977 | John Francis Kriz Jr. | Dentist | 43000 Midway Ave, San Diego, CA 92140-5692 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549177 | Shelly K Gareiss | Dentist | Mcrd San Diego, 3800 Chosin Avenue, San Diego, CA 92140 | 2018-08-22 |
| 1700185303 | Rachel Ann Holloway | Physician Assistant | 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 | 2011-03-22 |
| 1215158027 | Susan Rohbock | Physician Assistant | Navy Medical Clinic - Marine Corps Recruit Depot, 35000 Guadalcanal St., San Diego, CA 92140 | 2007-05-01 |
| 1700927514 | Anthony Joseph Marciante | Dentist | Branch Dental Clinic Mcrd, 43000 Midway Ave, Bldg 595, San Diego, CA 92140 | 2007-02-12 |
| 1861539488 | Justin Oderkirk | Emergency Medical Technician, Basic | 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 | 2007-01-31 |
| 1437240777 | Karima Ayesh | Dentist | 34000 Midway Ave, Bldg 595, Apo, AA 92140 | 2006-09-28 |
| 1730288788 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 25000 Guadal Canal Rd, Bldg 256, San Diego, CA 92140 | 2006-09-22 |
| 1306800644 | Reynaldo L Reyes Jr. | Military Health Care Provider | 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 | 2006-04-13 |
| 1932161197 | Reynaldo Aldover Guadez | Military Health Care Provider | Branch Medical Clinic Mcrd, 35000 Guadalcanal Street, San Diego, CA 92140 | 2006-04-04 |
| 1730151648 | Richard William Skinner | General Practice | Branch Clinic Marine Corps Recruit Depot, 35000 Guadalcanal Ave, San Diego, CA 92140 | 2006-02-03 |
| Find all providers in zip 92140 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902154057 | Lynne Ann March | Dentist | 4685 Vista St, San Diego, CA 92116-4848 | 2012-08-21 |
| 1679733240 | Adam Jeffrey Geach | Dentist | 11777 Bernardo Plaza Ct Ste 102, San Diego, CA 92128-2450 | 2008-06-16 |
| 1164611455 | Nathan James Hornsby | Dentist | 940 B St, San Diego, CA 92101-4609 | 2007-10-23 |
| 1942340104 | Miguel Agustin Grillo | Dentist | 12264 El Camino Real Ste 306, San Diego, CA 92130-3062 | 2007-02-07 |
| 1215076534 | Raymond E. Carpenter | Dentist | 16766 Bernardo Center Dr Ste 212, San Diego, CA 92128-2557 | 2007-02-05 |
| 1891831517 | Tony G Chammas | Dentist | 7910 Frost St Ste 160, San Diego, CA 92123-2771 | 2007-01-29 |
| 1285786616 | Bosworth, Inc A Dental Corporation | Dentist | 7675 Dagget St, #160, San Diego, CA 92111-2200 | 2007-01-17 |
| 1013075324 | Dun G Thi Phuong Nguyen | Dentist | 3426 University Ave, San Diego, CA 92104-2201 | 2006-12-05 |
| 1679656789 | Fred W Kamansky | Dentist | 6529 Mission Gorge Road, San Diego, CA 92120-2376 | 2006-10-23 |
| 1447342571 | Edward John Givens Jr. | Dentist | 2276 Fenton Pkwy, #216, San Diego, CA 92108-4750 | 2006-09-28 |
| Find all providers in SAN DIEGO | ||||
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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.