BIRCH DENTAL GROUP (NPI# 1508052382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508052382 |
| Entity Type | Organization |
| Organization Name | BIRCH DENTAL GROUP |
| Practice Address |
155 Birch St Suite 5 Redwood City CA 94062-1340 |
| Practice Telephone | 6503660552 |
| Practice Fax Number | 6503660701 |
| Mailing Telephone | 6503660552 |
| Mailing Fax Number | 6503660701 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2010-03-18 |
| Authorized Official Name | MR. CLARK L FONG, DDS (OWNER) |
| Authorized Official Telephone | 6503660552 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40351 | CA | Dental Providers |
| Street Address |
155 BIRCH ST SUITE 5 |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922185164 | Mayra Elizabeth Escobar | Dentist | 155 Birch St, Ste #3, Redwood City, CA 94062 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| 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 |
|---|---|---|---|---|
| 1588263701 | Haig Hagop Sadakian | Dentist | 114 Birch St Ste B, Redwood City, CA 94062-1399 | 2020-10-19 |
| 1497259519 | Paramita Roy Dds Dental Corporation | Dentist | 2950 Whipple Ave Ste 9, Redwood City, CA 94062-2842 | 2018-03-22 |
| 1558882506 | Juan Del Rio | Dentist | 391 4th Ave, Redwood City, CA 94063-3723 | 2017-06-29 |
| 1316491665 | Marlene Sadek | Dentist | 1458 Hudson St Apt 315, Redwood City, CA 94061-2961 | 2016-08-03 |
| 1295152718 | Thuan-vu Ho | Dentist | 1690 Woodside Rd Ste 118, Redwood City, CA 94061-3402 | 2014-03-21 |
| 1922339340 | Shikha Puri | Dentist | 1690 Woodside Rd Ste 204, Redwood City, CA 94061-3402 | 2010-01-25 |
| 1508099268 | Rana M Rakow | Dentist | 2650 Hampton Ave, Redwood City, CA 94061-2542 | 2009-08-28 |
| 1487882619 | Dania T Armas | Dentist | 29 Birch St Ste 3, Redwood City, CA 94062-1430 | 2009-06-25 |
| 1295971596 | Beatriz Helena Parra | Dentist | 1375 Broadway St, Redwood City, CA 94063-2522 | 2008-12-17 |
| 1689854622 | Barbara Macias-smith | Dentist | 1048 El Camino Real, Suite F, Redwood City, CA 94063-1686 | 2007-11-07 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
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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.