DR. THOMAS B SELLICK (NPI# 1447766571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447766571 |
| Entity Type | Individual |
| Full Name | DR. THOMAS B SELLICK |
| Credential | DDS |
| Practice Address |
4430 Willow Rd Ste H Pleasanton CA 94588-8576 |
| Practice Telephone | 9254261300 |
| Mailing Telephone | 9254261300 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47796 | CA | Dental Providers |
| Street Address |
4430 WILLOW RD STE H |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-8576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| 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 |
|---|---|---|---|---|
| 1316505746 | Drs. Kim and Ha Dental Corp. | Dentist | 5720 Stoneridge Mall Rd Ste 330, Pleasanton, CA 94588-2895 | 2019-05-31 |
| 1659866887 | Victoria Ruiz | Dentist | 2120 W Oaklawn Rd Unit E, Pleasanton, TX 78064-4623 | 2018-06-29 |
| 1114417151 | Sharda Patel, Dmd Inc | Dentist | 1488 Cedarwood Ln Ste D, Pleasanton, CA 94566-6125 | 2018-05-15 |
| 1861916504 | Yvonne Arlene De Mesa | Dentist | 4430 Willow Rd Ste A, Pleasanton, CA 94588-8576 | 2017-08-02 |
| 1023559689 | Veena Madhure, Dds, Inc | Dentist | 5720 Stoneridge Mall Rd Ste 285, Pleasanton, CA 94588-2869 | 2017-03-16 |
| 1346626777 | Nisha Perampalli Nayak | Dentist | 3906 Stoneridge Dr, Apt 4, Pleasanton, CA 94588-8242 | 2015-08-07 |
| 1770914236 | Kamlesh Jinjuwadia D.d.s., Inc | Dentist | 1807 Santa Rita Rd Ste C, Pleasanton, CA 94566-4744 | 2013-12-10 |
| 1376984690 | Gagandeep K Pandher | Dentist | 5460 Sunol Blvd, Suite #5, Pleasanton, CA 94566-7752 | 2013-07-15 |
| 1154678712 | Republic Dental Pllc | Dentist | 2120 W Oak Lawn Rd, Ste E, Pleasanton, TX 78064 | 2012-08-13 |
| 1649536962 | Linda Mori | Dentist | 5990 Stoneridge Dr Ste 117, Pleasanton, CA 94588-3234 | 2012-04-11 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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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.