DR. PAUL L. MICHAELIDES (NPI# 1306930748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306930748 |
| Entity Type | Individual |
| Full Name | DR. PAUL L. MICHAELIDES |
| Credential | D.D.S. |
| Practice Address |
2503 W. Shaw Suite 105 Fresno CA 93711-3309 |
| Practice Telephone | 1559229450 |
| Practice Fax Number | 1559226128 |
| Mailing Telephone | 1559229450 |
| Mailing Fax Number | 1559226128 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
24486 | CA | Dental Providers |
| Street Address |
2503 W. SHAW SUITE 105 |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| 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 |
|---|---|---|---|---|
| 1528516994 | Sophia Tseng | Dentist | 1406 E Alluvial Ave # 101, Fresno, CA 93720-2606 | 2016-09-14 |
| 1407163801 | Thomas E Bramanti Sr. | Dentist | 5660 N Fresno St, Suite #110, Fresno, CA 93710-8343 | 2010-09-07 |
| 1235379454 | Ryan Ellis | Dentist | 5479 N Fresno St Ste 104, Fresno, CA 93710-8328 | 2009-02-27 |
| 1790966455 | Gerald J. Pieroni | Dentist | 7760 N Fresno St Ste 105, Fresno, CA 93720-2411 | 2007-11-21 |
| 1275743080 | Dee Christiaan Nishimine | Dentist | 1406 E Alluvial Ave, #101, Fresno, CA 93720-2606 | 2007-05-23 |
| 1750418604 | Alexander Pritsky | Dentist | 7045 N Chestnut Ave, #102, Fresno, CA 93720-0354 | 2007-02-27 |
| 1477608537 | Suraiya Rahman | Dentist | 2956 E El Paso Ave, Fresno, CA 93720-6412 | 2007-01-25 |
| 1992859086 | James Ward Van Volkinburg | Dentist | 5479 N Fresno St, Suite 104, Fresno, CA 93710-8328 | 2007-01-23 |
| 1043308364 | Scott Robert Jett | Dentist | 6495 N Palm Ave Ste 105, Fresno, CA 93704-1063 | 2006-10-11 |
| 1992808299 | Dennis Nmi Nishimine | Dentist | 1406 E Allluvial Ave, Suite 101, Fresno, CA 93720-2606 | 2006-09-06 |
| Find all providers in FRESNO | ||||
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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.