OAKLAND ECO DENTAL (NPI# 1396121828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396121828 |
| Entity Type | Organization |
| Organization Name | OAKLAND ECO DENTAL |
| Practice Address |
2838 Summit St Oakland CA 94609-3605 |
| Practice Telephone | 5104652838 |
| Mailing Telephone | 5104652838 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | DR. KIMBERLY JEANNE BUTLER (GENERAL DENTIST) |
| Authorized Official Telephone | 5104652838 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
64928 | CA | Dental Providers |
| Street Address |
2838 SUMMIT ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225485402 | Kimberly Jeanbe Butler | Dentist | 2838 Summit St, Oakland, CA 94609-3605 | 2016-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| 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 |
|---|---|---|---|---|
| 1386253383 | Caroline Kim | Dentist | 1833 Brandon St, Oakland, CA 94611-4306 | 2020-07-24 |
| 1043879653 | Lawrence Wong | Dentist | 3300 Webster St Ste 907, Oakland, CA 94609-3156 | 2019-06-07 |
| 1013480169 | Cynthia L. Cox, D.d.s., Inc. | Dentist | 485 34th St Ste 210, Oakland, CA 94609-2823 | 2019-01-10 |
| 1275051575 | Christopher Thomas D.d.s. Inc. | Dentist | 1716 Telegraph Ave, Oakland, CA 94612-2108 | 2017-09-07 |
| 1396273694 | Homero A. Mak Dds, Inc | Dentist | 8105 Edgewater Dr Ste 122, Oakland, CA 94621-2019 | 2017-05-31 |
| 1174060800 | Philip P Chan | Dentist | 1624 Franklin St Ste 910, Oakland, CA 94612-2824 | 2017-01-19 |
| 1780135442 | Vincent Wong, Dds, A Professional Dental Corporation | Dentist | 3320 Webster St, Oakland, CA 94609-3105 | 2016-10-18 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| 1154798866 | Heather Hong Dinh | Dentist | 2007 E 17th St, Oakland, CA 94606-4603 | 2015-08-28 |
| 1255716957 | Yvonne Hoang Yen Jordan | Dentist | 6201 Antioch St, Oakland, CA 94611-2945 | 2015-07-23 |
| Find all providers in OAKLAND | ||||
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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.