DR. EDGARDO FAJARDO ENRIQUEZ (NPI# 1659417822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659417822 |
| Entity Type | Individual |
| Full Name | DR. EDGARDO FAJARDO ENRIQUEZ |
| Credential | DDS |
| Practice Address |
34 Steelman Street Fairfield PA 17320 |
| Mailing Address |
34 Steelman Street Po Box 268 Fairfield PA 17320 |
| Practice Telephone | 7176428168 |
| Practice Fax Number | 7176426622 |
| Mailing Telephone | 7176428168 |
| Mailing Fax Number | 7176426622 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS-026429-L | PA | Dental Providers |
| Street Address |
34 STEELMAN STREET |
| City | FAIRFIELD |
| State | PA |
| Zip Code | 17320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1740286053 | Fairfield Community Fire Company Inc | Ambulance | 106 Steelman St, Fairfield, PA 17320 | 2005-06-22 |
| 1649500810 | Brenda Riley-gipe | Physical Therapist | 225 Emory Ln, Fairfield, PA 17320-7831 | 2010-01-11 |
| 1609482223 | Kelly Kurtz | Social Worker | 111 Janet Trl, Fairfield, PA 17320-8174 | 2020-09-18 |
| 1639731516 | Bob Harry Reid | Internal Medicine | 48 Lakeside Trl, Fairfield, PA 17320-8222 | 2019-07-01 |
| 1629030796 | Fairfield Medical Center Inc | Family Medicine | 4 Field Trl, Fairfield, PA 17320-8241 | 2006-04-04 |
| 1083971709 | John David Straw IIi | Hearing Instrument Specialist | 12 Water St, Fairfield, PA 17320-8252 | 2012-04-19 |
| 1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
| 1518503689 | Greta Jones | Student in an Organized Health Care Education/Training Program | 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 | 2019-11-22 |
| 1598981003 | Fairfield Area School District | Local Education Agency (LEA) | 4840 Fairfield Rd, Fairfield, PA 17320-9200 | 2007-04-17 |
| Find all providers in zip 17320 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1093282923 | Valle Smiles | Dentist | 1955 W Texas St Ste 12, Fairfield, CA 94533-4462 | 2018-10-29 |
| 1437658614 | S.y.y Jang Dds Corp | Dentist | 1955 W Texas St Ste 2c, Fairfield, CA 94533-4462 | 2018-02-02 |
| 1104347384 | Avanthi Tiruvadi | Dentist | 1700 Post Rd Ste A, Fairfield, CT 06824-5795 | 2017-06-28 |
| 1659823110 | Neal Merchant | Dentist | 2801 Waterman Blvd Ste 120, Fairfield, CA 94534-2987 | 2016-11-01 |
| 1346625407 | Bernadette Tesorero Ancheta | Dentist | 1555 Webster St, Suite B, Fairfield, CA 94533-4999 | 2015-07-29 |
| 1033521299 | Wendy Wang Austin | Dentist | 2226 Black Rock Tpke Ste 1, Fairfield, CT 06825-3240 | 2014-05-22 |
| 1306275482 | Steve Halili Galvan | Dentist | 1500 Oliver Rd, Ste. F, Fairfield, CA 94534-3450 | 2013-11-08 |
| 1568890838 | Gill and Lambridis Dental Corporation | Dentist | 3332 N Texas St Ste 5c, Fairfield, CA 94533-9758 | 2013-10-24 |
| 1578990099 | Navid Mehranpour | Dentist | 1545 N Texas St Ste 311, Fairfield, CA 94533-5623 | 2013-09-29 |
| Find all providers in FAIRFIELD | ||||
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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.