MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF MADERA (NPI# 1386245462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386245462 |
| Entity Type | Organization |
| Organization Name | MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF MADERA |
| Practice Address |
118 N A St Madera CA 93638-3210 |
| Mailing Address |
552 W 26th St Merced CA 95340-2837 |
| Practice Telephone | 5596745428 |
| Mailing Telephone | 4804523022 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | NATHAN WILLIAM MILLER (OWNER) |
| Authorized Official Telephone | 4804523022 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Precision Family Dentistry of Madera | Doing Business As Name - Organization |
| Street Address |
118 N A ST |
| City | MADERA |
| State | CA |
| Zip Code | 93638-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255884664 | Lovik Karmell Dds, Dental Corp | Dentist | 500 E Almond Ave Ste 3, Madera, CA 93637-5600 | 2016-08-02 |
| 1790145134 | Dhillon Dental Corp | Dentist | 121 N I St, Madera, CA 93637-4408 | 2016-02-27 |
| 1386061869 | Qianmin Wang Dds,inc | Dentist | 1129 W 4th St Ste B, Madera, CA 93637-4477 | 2014-03-24 |
| 1609217264 | Tim G. Peffly | Dentist | 615 N I St, Madera, CA 93637-3075 | 2013-07-11 |
| 1881999282 | D. Scott Stevinson Dds/ Michael J. Stevinson Dds | Dentist | 816 Emily Way, Madera, CA 93637-5646 | 2011-01-14 |
| 1356572671 | Crystal Nassar | Dentist | 518 Barsotti Ave, Madera, CA 93637-3047 | 2009-08-04 |
| 1649448556 | Josefina Joco Nazareno | Dentist | 3211 Summer Lane, Madera, CA 93637 | 2008-02-13 |
| 1326254400 | Armando Quiroz Anguiano | Dentist | 509 S I St Ste D, Madera, CA 93637-4660 | 2007-05-15 |
| 1558573931 | Dawn Z Power | Dentist | 950 E Almond Ave Ste 102, Madera, CA 93637-5694 | 2007-05-05 |
| 1407077274 | Cu Tu Lu | Dentist | 515 E. Yosemite Ave., Madera, CA 93638 | 2007-05-01 |
| Find all providers in MADERA | ||||
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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.