DR. SHELLY K GAREISS


Address: Mcrd San Diego, 3800 Chosin Avenue, San Diego, CA 92140
Phone: 7084665161

DR. SHELLY K GAREISS (NPI# 1528549177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528549177
Entity Type Individual
Full Name DR. SHELLY K GAREISS
Credential DDS
Practice Address Mcrd San Diego
3800 Chosin Avenue
San Diego
CA 92140
Mailing Address Naval Medical Ctr
34000 Bob Wilson Drive
San Diego
CA 92134-5000
Practice Telephone 7084665161
Enumeration Date 2018-08-22
Last Update Date 2018-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DS0000010841 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MILITARY VAD0000 01

Office Location

Street Address MCRD SAN DIEGO
3800 CHOSIN AVENUE
City SAN DIEGO
State CA
Zip Code 92140

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700185303 Rachel Ann Holloway Physician Assistant 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 2011-03-22
1215158027 Susan Rohbock Physician Assistant Navy Medical Clinic - Marine Corps Recruit Depot, 35000 Guadalcanal St., San Diego, CA 92140 2007-05-01
1700927514 Anthony Joseph Marciante Dentist Branch Dental Clinic Mcrd, 43000 Midway Ave, Bldg 595, San Diego, CA 92140 2007-02-12
1861539488 Justin Oderkirk Emergency Medical Technician, Basic 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 2007-01-31
1437240777 Karima Ayesh Dentist 34000 Midway Ave, Bldg 595, Apo, AA 92140 2006-09-28
1730288788 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 25000 Guadal Canal Rd, Bldg 256, San Diego, CA 92140 2006-09-22
1306800644 Reynaldo L Reyes Jr. Military Health Care Provider 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 2006-04-13
1932161197 Reynaldo Aldover Guadez Military Health Care Provider Branch Medical Clinic Mcrd, 35000 Guadalcanal Street, San Diego, CA 92140 2006-04-04
1730151648 Richard William Skinner General Practice Branch Clinic Marine Corps Recruit Depot, 35000 Guadalcanal Ave, San Diego, CA 92140 2006-02-03
1780938209 Naval Medical Center San Diego Military Hospital 35000 Guadalcanal Ave, Bldg 596, San Diego, CA 92140 2012-11-06
Find all providers in zip 92140

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407455181 Julia Nguyen Dentist 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 2020-10-22
1831797489 Lily Neskin Dentist 4454 Shorepointe Way, San Diego, CA 92130-8635 2020-10-15
1487251294 Zeki Abdulaali Dentist 1501 India St Unit 607, San Diego, CA 92101-2449 2020-10-05
1629681895 Elizabeth Rodriguez Dentist 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 2020-08-27
1679183602 Hayat Fahliogullari-smith Dentist 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 2020-08-04
1235768631 Virgnia Padua Mattson D.m.d. Dentist 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 2020-04-07
1154956050 Enbara Corporation Dentist 5189 Clairmont Mesa Blvd, San Diego, CA 92117 2020-03-11
1215568043 Hage Dental Corporation Dentist 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 2020-01-30
1275174310 Yige Zhao Dental Corporation Dentist 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 2019-09-30
1083255111 Wayne David Gonzales Dentist 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 2019-09-30
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92140

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Dataset Information

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.

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