DAGON JONES DDS INC. (NPI# 1437616349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437616349 |
| Entity Type | Organization |
| Organization Name | DAGON JONES DDS INC. |
| Practice Address |
2800 5th Street Suite 100 Davis CA 95618 |
| Practice Telephone | 5307565300 |
| Practice Fax Number | 5307564941 |
| Mailing Telephone | 5307565300 |
| Mailing Fax Number | 5307564941 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | DAGON HURRICANE CASEY JONES (OWNER) |
| Authorized Official Telephone | 5307565300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Davis Dental Practice | Doing Business As Name - Organization |
| Street Address |
2800 5TH STREET SUITE 100 |
| City | DAVIS |
| State | CA |
| Zip Code | 95618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013332 | Maria Pilar Alonso Nunez | Social Worker | 2707 Henri Ct, Davis, CA 95618 | 2019-09-24 |
| 1265938484 | Martel Elizabeth Costa | Nurse Practitioner | 1909 Galileo Ct Ste A, Davis, CA 95618 | 2018-04-05 |
| 1952785644 | Avineet Boparai | Dentist | 4515 Fermi Pl Ste 106, Davis, CA 95618 | 2015-07-13 |
| 1063841096 | Sergio Vicuna Dental Corporation | Dentist | 4515 Fermi Place Suite 106, Davis, CA 95618 | 2013-11-12 |
| 1700103314 | Daren Allen Casagrande | Counselor | 315 Mace Blvd, Davis, CA 95618 | 2010-04-23 |
| 1689802803 | Rocky P.j. Jedick | Emergency Medicine | 2206 Halsey Cir, Davis, CA 95618 | 2009-06-25 |
| 1356463004 | Vincent & Associates | Speech-Language Pathologist | 3560 J Street, Suite 1, Sacramento, CA 95618 | 2007-04-04 |
| 1316075138 | New Life Clinic | Acupuncturist | 1736 Picasso Ave., Suite B, Davis, CA 95618 | 2007-03-01 |
| 1558419622 | Baoping Li | Acupuncturist | 1736 Picasso Ave, Suite B, Davis, CA 95618 | 2007-01-08 |
| 1275691255 | Clark J Gregor | Dentist | 1756 Picasso Ave, Suite C, Davis, CA 95618 | 2006-12-04 |
| Find all providers in zip 95618 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952785644 | Avineet Boparai | Dentist | 4515 Fermi Pl Ste 106, Davis, CA 95618 | 2015-07-13 |
| 1750798252 | Kari Fowler | Dentist | 4515 Fermi Pl, Suite 106, Davis, CA 95618-9410 | 2014-07-16 |
| 1063841096 | Sergio Vicuna Dental Corporation | Dentist | 4515 Fermi Place Suite 106, Davis, CA 95618 | 2013-11-12 |
| 1164854378 | Andrea Marie Clegg | Dentist | 432 Heron Pl, Davis, CA 95616-7512 | 2013-07-30 |
| 1477896884 | David Du | Dentist | 1205 Drake Dr Ste B, Davis, CA 95616-0856 | 2013-04-03 |
| 1982935409 | Amber Eileen Eakle | Dentist | 217 William Ave., Davis, WV 26260-0217 | 2010-01-22 |
| 1497986970 | Cynthia Louise Dominessy | Dentist | 635 Anderson Rd Ste 16, Davis, CA 95616-3505 | 2009-08-02 |
| 1881855112 | Dagon Hurricane Jones | Dentist | 2800 5th St, Suite 100, Davis, CA 95618-7760 | 2008-06-19 |
| 1811095060 | Visse Pahlavan Storm | Dentist | 305 D St, Davis, CA 95616-4128 | 2006-09-20 |
| 1083629760 | Don W Kines | Dentist | 217 William Ave, Davis, WV 26260-0217 | 2006-07-30 |
| Find all providers in DAVIS | ||||
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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.