DR. DONGJIN SAH (NPI# 1548525785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548525785 |
| Entity Type | Individual |
| Full Name | DR. DONGJIN SAH |
| Credential | DDS, MSD |
| Practice Address |
1400 N Dutton Ave Ste 11 Santa Rosa CA 95401-4644 |
| Practice Telephone | 7075454104 |
| Practice Fax Number | 7075459668 |
| Mailing Telephone | 7075454104 |
| Mailing Fax Number | 7075459668 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
61419 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
61419 | CA | Dental Providers |
| Street Address |
1400 N DUTTON AVE STE 11 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811335755 | Rincon Family Dental | Dentist | 55 Elaine Dr, Santa Rosa, CA 95409-4248 | 2013-06-13 |
| 1679728612 | John A Chalmers | Dentist | 95 Montgomery Dr Ste 106, Santa Rosa, CA 95404-6617 | 2008-11-18 |
| 1174664460 | Lehman Waggener Professional Dental Corporation | Dentist | 80 Doctors Park Drive, Santa Rosa, CA 95405 | 2007-02-09 |
| 1487700704 | Phillip Andrew Waterman Jr. | Dentist | 3748 Montgomery Dr, Santa Rosa, CA 95405-5215 | 2007-01-27 |
| 1689721961 | Robert Lee Grove Jr. | Dentist | 305 Farmers Ln, Santa Rosa, CA 95405-4722 | 2007-01-05 |
| 1376638288 | Thomas Brian Bozeman | Dentist | 1820 Sonoma Ave, Ste 110, Santa Rosa, CA 95405 | 2006-10-04 |
| 1407957947 | Clinton E Weaver | Dentist | 1202 Farmers Ln, Santa Rosa, CA 95405-6707 | 2006-09-26 |
| 1689142572 | Yan Kalika Dental Corporation | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2018-11-08 |
| 1467629386 | James Allen Abbott | Dentist | 4655 Hoen Ave, Suite 2, Santa Rosa, CA 95405-7800 | 2008-05-09 |
| 1013077403 | Ranolph Duane Rush | Dentist | 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403-3634 | 2006-12-08 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.