DR. GUY CARLETON LICHTY II (NPI# 1376682583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376682583 |
| Entity Type | Individual |
| Full Name | DR. GUY CARLETON LICHTY II |
| Credential | D.D.S. |
| Practice Address |
3030 Childrens Way Suite 107 San Diego CA 92123-4232 |
| Mailing Address |
Po Box 530869 San Diego CA 92153-0869 |
| Practice Telephone | 8584929977 |
| Mailing Telephone | 6194219132 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
27644 | CA | Dental Providers |
| Street Address |
3030 CHILDRENS WAY SUITE 107 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229600 | Charles Douglas Wallace | Orthopaedic Surgery | 3030 Childrens Way, Ste 410, San Diego, CA 92123-4232 | 2005-07-18 |
| 1841808854 | Lorri A. Kais | Clinical Neuropsychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-07-15 |
| 1114541760 | Samantha Barbara Nigrelli | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-05-29 |
| 1134755630 | Sara J. Fligelman | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-03-16 |
| 1316571367 | Kayleigh M. Prowse | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-02-28 |
| 1639649239 | Kimberly Charlotte Padilla | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123 | 2018-11-27 |
| 1568953172 | Elizabeth Williams Smith | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2018-05-21 |
| 1083132260 | Eve U. Nguyen | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-09-07 |
| 1659893295 | Ronak Rahmanian | Otolaryngology | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-07-14 |
| 1689048530 | Carie Truong Lam | Physician Assistant | 3030 Childrens Way, San Diego, CA 92123-4232 | 2015-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750912333 | Wendy Yang Dds Ms PC | Dentist | 12650 Sabre Springs Pkwy Ste 205, San Diego, CA 92128-4114 | 2020-01-31 |
| 1326513474 | Nicole Lamantia | Dentist | 4347 Nobel Dr Unit 133, San Diego, CA 92122-1587 | 2018-10-04 |
| 1235655788 | Hoss/keri Km Dental Group, A Professional Corporation | Dentist | 9737 Aero Drive Ste 210, San Diego, CA 92123 | 2017-08-16 |
| 1225560501 | Jeffrey Choi | Dentist | 8110 Birmingham Way Building #28, 2nd Floor, San Diego, CA 92123 | 2017-03-28 |
| 1467990432 | Najmeh Hannanvash Dds, Inc | Dentist | 5550 Carmel Mountain Rd, 200, San Diego, CA 92130-6781 | 2017-02-09 |
| 1578975728 | Pham and Mauseth Dds Inc | Dentist | 16918 Dove Canyon Rd Ste 203, San Diego, CA 92127-3457 | 2014-05-22 |
| 1639517394 | Khuong Nguyen, Dds A Professional Dental Corporation | Dentist | 2780 Cardinal Rd Ste A, San Diego, CA 92123-3354 | 2013-06-04 |
| 1740535848 | Chieu Pham Dds Inc | Dentist | 12395 El Camino Real #312, San Diego, CA 92130 | 2012-07-16 |
| 1710256664 | Gary Robert Toppi | Dentist | 3737 Moraga Ave Ste B109, San Diego, CA 92117-5354 | 2011-12-21 |
| 1215206198 | Anthony J. Scoma, Dds Inc. | Dentist | 12036 Scripps Highland Dr Ste 100, San Diego, CA 92131-5155 | 2011-12-21 |
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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.