UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY (NPI# 1255469425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255469425 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF THE PACIFIC ARTHUR A. DUGONI SCHOOL OF DENTISTRY |
| Other Organization Name | ORAL MEDICINE |
| Practice Address |
2155 Webster St San Francisco CA 94115-2333 |
| Practice Telephone | 4159296501 |
| Practice Fax Number | 4159296654 |
| Mailing Telephone | 4159296501 |
| Mailing Fax Number | 4159296654 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD FREDEKIND (ASSOCIATE DEAN FOR CLINICAL SERVICE) |
| Authorized Official Telephone | 4159296604 |
| Authorized Official Credential | DMD, MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL IDENTIFICATION | G01001-06 | 01 |
| Other Name | Type Code |
|---|---|
| Oral Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336508654 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 155 5th St Ste 4vd, Virtual Dental Home Clinic, San Francisco, CA 94103-2919 | 2016-02-15 |
| 1134256969 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 155 5th St Ste 2f, Hospital Dentistry Special Care Clinic, San Francisco, CA 94103-2919 | 2007-02-28 |
| 1093842627 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 757 Brookside Rd Rm 200, Pacific Dental Care Clinic, University of The Pacific, Stockton, CA 95211-0110 | 2007-02-28 |
| 1437576170 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 155 5th St, Suite 20p, San Francisco, CA 94103-2919 | 2014-03-19 |
| 1235556093 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dental Hygienist | 757 Brookside Rd Rm 200, Pacific Dental Hygiene, University of The Pacific, Stockton, CA 95211-0110 | 2014-03-18 |
| 1952725863 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 155 5th St, Endodontic Clinic Suite 2e, San Francisco, CA 94103-2919 | 2014-02-12 |
| 1508294927 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 155 5th St, Ofmsc Suite 3f, San Francisco, CA 94103-2919 | 2013-10-22 |
| 1316074149 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 155 5th St, Suite 3e, San Francisco, CA 94103-2919 | 2007-02-28 |
| 1699802215 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 1203 J St, Union City, CA 94587-3331 | 2007-02-28 |
| 1023145307 | University of The Pacific Arthur A. Dugoni School of Dentistry | Dentist | 155 5th St, Suite 23m, San Francisco, CA 94103-2919 | 2007-02-27 |
| Street Address |
2155 WEBSTER ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94115-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174544159 | Kalid Aziz | Dentist | 2155 Webster St, Faculty Practice, San Francisco, CA 94115-2333 | 2006-07-22 |
| 1972929156 | Robert Boyd | Dentist | 2155 Webster St, Suite 141, San Francisco, CA 94115-2333 | 2014-03-11 |
| 1467791954 | Nissim Benbassat | Dentist | 2155 Webster St, Suite 522, San Francisco, CA 94115-2333 | 2013-02-04 |
| 1376881284 | Giuseppe Inesi | Family Medicine | 2155 Webster St, Univ Pacific Room 400, San Francisco, CA 94115-2333 | 2013-01-28 |
| 1487900924 | Ladan Sahabi | Dentist | 2155 Webster St, San Francisco, CA 94115-2333 | 2012-08-02 |
| 1972868982 | Desmond Gallagher | Dentist | 2155 Webster St, Suite C12 University of The Pacific Dental School, San Francisco, CA 94115-2333 | 2012-07-06 |
| 1386902658 | Ai B. Streacker | Dentist | 2155 Webster St, C 29, San Francisco, CA 94115-2333 | 2012-04-24 |
| 1619265410 | Stephanie D Moniz | Dentist | 2155 Webster St, San Francisco, CA 94115-2333 | 2011-07-13 |
| 1497046155 | Gabriela Pitigoi-aron | Dentist | 2155 Webster St, San Francisco, CA 94115-2333 | 2011-04-28 |
| 1710278015 | Christine Inge Peters | Dentist | 2155 Webster St, San Francisco, CA 94115-2333 | 2011-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593274 | Francene G Colvin | Psychologist | 1939 Divisadero, Suite 1, San Francisco, CA 94115 | 2020-06-19 |
| 1760015689 | Simon James Little | Psychiatry & Neurology | 1634 Divisadero St, Suite 250, San Francisco, CA 94115 | 2020-02-19 |
| 1881243822 | Clara Kwun | Social Worker | 1610 Scott St., San Francisco, CA 94115 | 2019-09-11 |
| 1467005207 | Tamara Aline Hostetler | Marriage & Family Therapist | 2859 Sacramento St., San Francisco, CA 94115 | 2019-07-22 |
| 1962054999 | Wendy Lynne Stern | Psychologist | 2104 Bush St., San Francisco, CA 94115 | 2019-07-10 |
| 1184188476 | Katherine Marie Carroll | Specialist/Technologist | 1731 B Buchanan Street, San Francisco, CA 94115 | 2019-01-30 |
| 1710467410 | Joanna Katherine Hendrick | Marriage & Family Therapist | 1201 Fillmore Street, San Francisco, CA 94115 | 2018-08-21 |
| 1063998771 | Leonard Cheung | Counselor | Youth Services Bureau of San Francisco, 1426 Fillmore Street Suite 216, San Francisco, CA 94115 | 2018-07-16 |
| 1942709563 | Jobelle Cunanan | Behavior Technician | 1871 Turk St, San Francisco, CA 94115 | 2018-02-09 |
| 1083128235 | Dr. Jenny Mann, Nd | Clinic/Center | 2300 Sutter St Ste 301, San Francisco, CA 94115 | 2017-11-27 |
| Find all providers in zip 94115 | ||||
| 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 |
|---|---|---|---|---|
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1063019032 | Shaun Abrams | Dentist | 87 Beaver St, San Francisco, CA 94114-1514 | 2020-10-02 |
| 1407469240 | Steve Deng | Dentist | 450 Sutter St Rm 2640, San Francisco, CA 94108-4211 | 2020-08-30 |
| 1922619634 | Anna V Goritskaia | Dentist | 1188 Mission St Apt 2318, San Francisco, CA 94103-6757 | 2020-08-14 |
| 1417589581 | Amin Sarraf | Dentist | 1315 3rd Ave, San Francisco, CA 94122-2718 | 2020-02-06 |
| 1144867052 | Hanna Brody | Dentist | 707 Parnassus Ave Rm D3015, San Francisco, CA 94143-2210 | 2019-12-10 |
| 1225685043 | Kamiya Khatwani | Dentist | 250 King St Unit 270, San Francisco, CA 94107-5457 | 2019-08-26 |
| 1609428275 | University of The Pacific | Dentist | 155 5th St Ste 23m, San Francisco, CA 94103-2919 | 2019-07-12 |
| 1730740325 | Ronald J Mak | Dentist | 728 Pacific Ave Ste 610, San Francisco, CA 94133-4449 | 2019-06-24 |
| 1073077947 | Hayoung Shin | Dentist | 1 Daniel Burnham Ct Ste 305c, San Francisco, CA 94109-0466 | 2019-01-24 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94115 |
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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.