DR. JEFFREY GLEN ALLRED (NPI# 1194964411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194964411 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY GLEN ALLRED |
| Credential | D.D.S. |
| Practice Address |
955 Boardwalk Suite 201 San Marcos CA 92078-2659 |
| Practice Telephone | 7603046455 |
| Mailing Telephone | 7603046455 |
| Mailing Fax Number | 7604817155 |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2014-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 58336 | CA | Dental Providers |
| N | 122300000X | Dentist | 7089890-9922 | UT | Dental Providers |
| Street Address |
955 BOARDWALK SUITE 201 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346420510 | San Diego Center for Gyn Oncology Inc | Specialist | 955 Boardwalk, Suite 100, San Marcos, CA 92078-2659 | 2007-11-05 |
| 1861874471 | Jordan Colby | Dentist | 955 Boardwalk, 103, San Marcos, CA 92078-2659 | 2015-06-19 |
| 1457741860 | Joseph Morneau Dds Inc | Dentist | 955 Boardwalk, Suite 202, San Marcos, CA 92078-2659 | 2015-01-23 |
| 1467840892 | G. Allen D.d.s., and N. Balachandran D.d.s., Inc | Dentist | 955 Boardwalk, Suite 301, San Marcos, CA 92078-2659 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1164977047 | Sarah Marie Severson | Dentist | 1890 Medical Pkwy, San Marcos, TX 78666-7998 | 2016-08-19 |
| 1972901619 | Blake Harrison Mulgrew | Dentist | 1941 Interstate 35 Frontage Road, San Marcos, TX 78666 | 2014-12-11 |
| 1376941179 | Amir Pasha Farnaghi | Dentist | 1920 Corporate Dr Ste A107, San Marcos, TX 78666-6282 | 2014-12-09 |
| 1558774570 | Jerry Westover | Dentist | 651 Barnes Dr Ste 205, San Marcos, TX 78666-6225 | 2014-06-06 |
| 1114293149 | Western Dental Services, Inc. | Dentist | 169 S Rancho Santa Fe Rd, San Marcos, CA 92078-2501 | 2012-03-23 |
| 1811276983 | Karina A Gregg | Dentist | 1691 Melrose Dr, Suite 160, San Marcos, CA 92078-2127 | 2011-08-08 |
| 1629386065 | Rafael Garcia | Dentist | 1941 S Ih 35 Ste 107, San Marcos, TX 78666-6169 | 2010-09-20 |
| 1285949388 | Alfredo Ortiz Jr. | Dentist | 301 W Hopkins St, San Marcos, TX 78666-4403 | 2010-08-12 |
| 1144532672 | Vida Namavar | Dentist | 670 W San Marcos Blvd, Ste 103, San Marcos, CA 92078-1235 | 2010-07-13 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
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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.