MUSTAFA RADIF


Address: 2370 Waterloo Rd, Stockton, CA 95205-2953
Phone: 2093735600

MUSTAFA RADIF (NPI# 1225571318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225571318
Entity Type Individual
Full Name MUSTAFA RADIF
Practice Address 2370 Waterloo Rd
Stockton
CA 95205-2953
Practice Telephone 2093735600
Enumeration Date 2016-11-22
Last Update Date 2016-11-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 26635 CA Dental Providers

Office Location

Street Address 2370 WATERLOO RD
City STOCKTON
State CA
Zip Code 95205-2953

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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

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NPI Name Taxonomy Address Enumeration
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1376175265 Lisa Gildea Dental Hygienist 701 E Channel St, Stockton, CA 95202-2628 2020-02-07
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1881161479 Amaninder Mann Dental Hygienist 7210 Murray Dr, Stockton, CA 95210-3339 2018-11-01
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Competitor

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City STOCKTON
Zip Code 95205

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Dataset Information

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.

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