BRUCE VALENTINE (NPI# 1629274899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629274899 |
| Entity Type | Individual |
| Full Name | BRUCE VALENTINE |
| Credential | D.D.S. |
| Practice Address |
1801 Tully Rd Suite B Modesto CA 95350-2931 |
| Practice Telephone | 2095260982 |
| Practice Fax Number | 2095271971 |
| Mailing Telephone | 2095260982 |
| Mailing Fax Number | 2095271971 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20789 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | 236914 | 01 |
| CA | DENTAL LICENSE | 20789 | 01 |
| Street Address |
1801 TULLY RD SUITE B |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742458 | Michael R Boyer | Dentist | 1801 Tully Rd, # A-1, Modesto, CA 95350-2931 | 2005-07-05 |
| 1134463342 | Reproductive Health Care Center | Non-Pharmacy Dispensing Site | 1801 Tully Rd, Modesto, CA 95350-2931 | 2012-11-15 |
| 1164782777 | Sierra Valley Health Center Inc | Family Medicine | 1801 Tully Rd, Suite F, Modesto, CA 95350-2931 | 2012-05-17 |
| 1790942498 | Sudha Sharma | Physician Assistant | 1801 Tully Rd, Suite F, Modesto, CA 95350-2931 | 2008-05-20 |
| 1023283504 | Seirra Health Center | Physician Assistant | 1801 Tully Rd, Suit F, Modesto, CA 95350-2931 | 2008-04-25 |
| 1700070521 | Reproduction Health Care Centre | Clinic/Center | 1801 Tully Rd, Modesto, CA 95350-2931 | 2007-09-05 |
| 1922156215 | Deanne Marie Schlander | Nurse Practitioner | 1801 Tully Rd, Modesto, CA 95350-2931 | 2007-01-05 |
| 1932276995 | Daryl L Bica | Dentist | 1801 Tully Rd, Ste C 1, Modesto, CA 95350-2937 | 2006-11-28 |
| 1952363178 | Deborah F Wong | Family Medicine | 1801 Tully Rd, Modesto, CA 95350-2931 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| 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 |
|---|---|---|---|---|
| 1639658305 | Rigel Smart | Dentist | 103 Mchenry Ave, Modesto, CA 95354-0541 | 2018-08-13 |
| 1801373220 | Nan Xiang | Dentist | 2217 Coffee Rd # A, Modesto, CA 95355-2307 | 2018-07-27 |
| 1699261495 | Kwang Min Lim | Dentist | 1429 College Ave Ste D, Modesto, CA 95350-4046 | 2018-07-03 |
| 1558872077 | Franklin Cordero Dmd, Inc. | Dentist | 1207 14th St, Modesto, CA 95354-1005 | 2017-10-24 |
| 1083130538 | Misty Autumn Henne-bhullar | Dentist | 3219 Mchenry Ave, Modesto, CA 95350-1457 | 2017-08-16 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1811352404 | Chahal Dental Corporation | Dentist | 2217 Coffee Rd, Suite A, Modesto, CA 95355-2307 | 2015-12-23 |
| 1366839755 | Hillock Family Dental Inc. | Dentist | 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 | 2015-04-23 |
| 1548608425 | Ajaykumar N Patel | Dentist | 3430 Tully Rd Ste 21, Modesto, CA 95350-0840 | 2013-06-12 |
| 1992054308 | Satyen Desai Dental Corporation | Dentist | 1404 Mitchell Rd., Modesto, CA 95351-4948 | 2012-08-30 |
| Find all providers in MODESTO | ||||
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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.