MRS. MARYJEAN TRIPON RABADAM


Address: 9170 Elkgrove -florin Rd., Suite D, Elkgrove, CA 95624
Phone: 9166862888

MRS. MARYJEAN TRIPON RABADAM (NPI# 1295859320) 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) 1295859320
Entity Type Individual
Full Name MRS. MARYJEAN TRIPON RABADAM
Credential D.D.S.
Practice Address 9170 Elkgrove -florin Rd.
Suite D
Elkgrove
CA 95624
Practice Telephone 9166862888
Practice Fax Number 9164053436
Mailing Telephone 9166862888
Mailing Fax Number 9164053436
Enumeration Date 2007-03-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
36822 CA Dental Providers

Office Location

Street Address 9170 ELKGROVE -FLORIN RD.
SUITE D
City ELKGROVE
State CA
Zip Code 95624

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1154878742 Dorian Elaine Buckner Counselor 9355 E. Stockton Blvd., Elk Grove, CA 95624 2016-09-01
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1760862437 Harpreet Singh Student in an Organized Health Care Education/Training Program 8617 Orison Ct, Elk Grove, CA 95624 2015-06-08
1942698253 Noah Shapiro Social Worker 9140 Bradshaw Rd, Elf Grove, CA 95624 2015-01-08
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

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1912508177 Adrian Acosta Dds A Professional Dental Corp Dentist 951 W. Whittier Blvd, La Habra, CA 90631-3743 2020-11-04
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1407455181 Julia Nguyen Dentist 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 2020-10-22
1104425248 Aditi Mehndiratta Dentist 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 2020-10-20
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Competitor

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City ELKGROVE
Zip Code 95624

Improve Information

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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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