DR. JEFFREY G LIGHT (NPI# 1538188016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538188016 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY G LIGHT |
| Credential | DDS |
| Practice Address |
2650 21st St Ste 3 Sacramento CA 95818-2539 |
| Mailing Address |
8822 Barrister Ln Fair Oaks CA 95628-6350 |
| Practice Telephone | 9164519400 |
| Practice Fax Number | 9164569157 |
| Mailing Telephone | 9167151485 |
| Mailing Fax Number | 9164569157 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
30381 | CA | Dental Providers |
| Street Address |
2650 21ST ST STE 3 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95818-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206557 | Ten Acres Pharmacy | Pharmacy | 2930 Freeport Blvd, Sacramento, CA 95818 | 2020-05-14 |
| 1467928200 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3680 Crocker Dr, Ste 100, Sacramento, CA 95818 | 2018-10-19 |
| 1295254084 | Family Business Ventures LLC | In Home Supportive Care | 2026 X Street, Sacramento, CA 95818 | 2017-09-13 |
| 1932656550 | Roshelle Chan | Student in an Organized Health Care Education/Training Program | 1964 36th Street, Sacramento, CA 95818 | 2016-09-01 |
| 1144692724 | Ivyridge Assisted Living | Assisted Living Facility | 2030 23 Rd Street, Sacramento, CA 95818 | 2015-10-22 |
| 1255672788 | Kimberly Ann Delaney | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2013-03-07 |
| 1285985473 | Salatha Helton | Marriage & Family Therapist | 3067 Freeport Blvd Ste 8, Sacramento, CA 95818 | 2012-09-27 |
| 1508976382 | Victoria M Sarantopulos | Marriage & Family Therapist | 2015 21st St Suite 304, Sacramento, CA 95818 | 2006-08-30 |
| 1871986638 | Connected Speech Therapy, Inc. | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2015-03-18 |
| 1851640965 | Chris Arbabian | Chiropractor | 2716 V Street, Sacramento, CA 95818 | 2012-09-05 |
| Find all providers in zip 95818 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710176086 | Robert E. Gillis, Jr, Dmd, Msd, A Professional Corporation | Dentist | 3000 L St Ste 205, Sacramento, CA 95816-5248 | 2007-10-23 |
| 1205046299 | Jeffrey Yngve Nordlander | Dentist | 6409 Folsom Blvd # 2, Sacramento, CA 95819-4620 | 2007-05-22 |
| 1831212562 | Daesoon Kim | Dentist | 1724 Professional Dr, Sacramento, CA 95825-2105 | 2007-04-09 |
| 1780702480 | Herlin Kaur Dyal | Dentist | 6409 Folsom Blvd, Suite #2, Sacramento, CA 95819-4620 | 2007-03-27 |
| 1083704530 | Gerald Yang | Dentist | 5401 Arnold Avenue, Sacramento, CA 95652 | 2006-10-13 |
| 1811241664 | Ronald Robert Larsen | Dentist | 1870 Avondale Ave, Suite 5, Sacramento, CA 95825-1388 | 2012-11-01 |
| 1982855169 | Diana Caroline Fat | Dentist | 2131 Capitol Ave, Suite 300, Sacramento, CA 95816-5755 | 2008-10-06 |
| 1245440957 | Brock Hinton | Dentist | 6409 Folsom Blvd, Sacramento, CA 95819-4620 | 2007-05-23 |
| 1982704151 | Michael A. Mikitka | Dentist | 1675 Alhambra Blvd, Suite F, Sacramento, CA 95816-7047 | 2006-09-25 |
| 1356326706 | Mark B. Peterson | Dentist | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2005-12-08 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95818 |
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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.