DR. JALEH A COONEY (NPI# 1205840170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205840170 |
| Entity Type | Individual |
| Full Name | DR. JALEH A COONEY |
| Credential | DMD |
| Practice Address |
92 High St #32b Medford MA 02155-3850 |
| Practice Telephone | 7813957841 |
| Practice Fax Number | 7813950095 |
| Mailing Telephone | 7813957841 |
| Mailing Fax Number | 7813950095 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
16848 | MA | Dental Providers |
| Street Address |
92 HIGH ST #32B |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748057 | Emory E Hamilton | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2005-08-29 |
| 1518372556 | John D Ferrin Dmd LLC | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2014-06-28 |
| 1386903441 | Insight Periodontics & Implant Dentistry, LLC | Dentist | 1601 E Mcandrews Rd, Suite B, Medford, OR 97504-5300 | 2012-05-10 |
| 1194093146 | John David Ferrin | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2011-12-06 |
| 1639347958 | Tetsuji Zenas Watari | Dentist | 2930 E Barnett Rd, Medford, OR 97504 | 2008-02-20 |
| 1184808743 | Medford Periodontal Associates, LLC | Dentist | 30 Jackson Rd, Suite A-5, Medford, NJ 08055-9283 | 2007-12-19 |
| 1871775403 | Chun-han Chou | Dentist | 1762 E Mcandrews Rd, Suite B, Medford, OR 97504-5577 | 2007-12-05 |
| 1194932954 | Emory E. Hamilton Dmd | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2007-05-17 |
| 1982811758 | Michael M Martin | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2007-05-17 |
| 1881721140 | Jeffrey M Doblin | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055 | 2007-02-27 |
| Find all providers in MEDFORD | ||||
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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.