THEODORE ROBERT SMALL (NPI# 1497112338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497112338 |
Entity Type | Individual |
Full Name | THEODORE ROBERT SMALL |
Credential | DDS |
Practice Address |
1301 Bonita Ave Apt 4 Berkeley CA 94709-1983 |
Practice Telephone | 5105599097 |
Mailing Telephone | 5105599097 |
Enumeration Date | 2016-01-22 |
Last Update Date | 2016-01-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 140487-9922 | UT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992704555 | Theodore Robert Small | Specialist | 1840 Mease Dr, Suite 301, Safety Harbor, FL 34695-6605 | 2005-07-18 |
Street Address |
1301 BONITA AVE APT 4 |
City | BERKELEY |
State | CA |
Zip Code | 94709-1983 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
Find all providers in zip 94709 |
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 |
---|---|---|---|---|
1568027183 | Leila Pakravan | Dentist | 2136 University Ave, Berkeley, CA 94704-1026 | 2019-05-08 |
1467921288 | Ethan Do | Dentist | 3017 Telegraph Ave Ste 310, Berkeley, CA 94705-2049 | 2018-11-21 |
1962817882 | Ian Iwane Dds | Dentist | 1536 Blake St, None, Berkeley, CA 94703-1806 | 2014-06-30 |
1932549235 | Erwin Yeh | Dentist | 1502 Walnut St Ste D, Berkeley, CA 94709-1563 | 2013-07-01 |
1144663766 | Alicia Applin | Dentist | 2812 Piedmont Ave, Berkeley, CA 94705-2314 | 2013-04-12 |
1588969919 | Martin L Goldman | Dentist | 900 Colusa Ave Ste 205-a, Berkeley, CA 94707-2319 | 2011-01-15 |
1316256712 | Anthony Murray Dailley | Dentist | 2999 Regent St Ste 302, Berkeley, CA 94705-2118 | 2010-10-02 |
1912239567 | Lindsey Koida | Dentist | 909 University Ave., Berkeley, CA 94710 | 2010-02-08 |
1568690824 | Brian Marc Assael | Dentist | 2459a Ashby Ave, Berkeley, CA 94705 | 2009-06-25 |
1821236787 | Stephen Kane | Dentist | 856 Contra Costa Ave, Berkeley, CA 94707-1920 | 2009-01-30 |
Find all providers in BERKELEY |
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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.