DR. JEFFREY A SALADIN, DENTAL CORPORATION (NPI# 1174078869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174078869 |
| Entity Type | Organization |
| Organization Name | DR. JEFFREY A SALADIN, DENTAL CORPORATION |
| Other Organization Name | CHILDREN'S CHOICE PEDIATRIC DENTAL CARE |
| Practice Address |
4200 East Avenue Suite 100 Livermore CA 94550 |
| Mailing Address |
1164 National Drive Suite 40 Sacramento CA 95834 |
| Practice Telephone | 9253075437 |
| Practice Fax Number | 8445348464 |
| Mailing Telephone | 9168777450 |
| Mailing Fax Number | 8445348464 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | MR. PAGE HUDSON (OWNER) |
| Authorized Official Telephone | 9168777450 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Children's Choice Dental Care | Doing Business As Name - Organization |
| Children's Choice Pediatric Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1013299411 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 871 Gray Ave., Suite B, Yuba City, CA 95991 | 2011-09-13 |
| 1093121378 | Dr. Jeffrey A Saladin, Dental Corporation | Preferred Provider Organization | 2295 Fieldstone Drive, Suite 110, Lincoln, CA 95648 | 2014-07-07 |
| 1801148788 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1671 E Monte Vista Ave, Ste. 200, Vacaville, CA 95688 | 2012-10-03 |
| Street Address |
4200 EAST AVENUE SUITE 100 |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721612 | Dr. Page Hudson Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| 1255581732 | Adele Harman Brainard | Specialist | 4591 Arroyo Rd., Building 62, Rm 548, Livermore, CA 94550 | 2008-09-22 |
| Find all providers in zip 94550 | ||||
| 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 |
|---|---|---|---|---|
| 1679943484 | Jesse J. Punch | Dentist | 4375 First St, Livermore, CA 94551-4912 | 2015-10-06 |
| 1760795421 | Brian J Emrich | Dentist | 1841 Fourth St, Livermore, CA 94550-4467 | 2010-07-22 |
| 1114028149 | Thomas J Marcel | Dentist | 2084 4th St, Livermore, CA 94550-4460 | 2006-09-25 |
| 1396751392 | Michael D. Kasso | Dentist | 999 E Stanley Blvd Ste B, Livermore, CA 94550-4050 | 2006-07-31 |
| 1134155690 | Klifford Todd Kapus | Dentist | 4200 East Ave, Suite #100, Livermore, CA 94550-4945 | 2006-06-24 |
| 1063809804 | Shannon Miyuki Hayashibara | Dentist | 2177 Las Positas Ct, Suite E, Livermore, CA 94551-8872 | 2015-04-20 |
| 1881833143 | John Norman Emrich | Dentist | 1018 Murrieta Blvd, Suite A, Livermore, CA 94550-4163 | 2009-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.