JORDAN PRIETO DDS, INC. (NPI# 1669866695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669866695 |
| Entity Type | Organization |
| Organization Name | JORDAN PRIETO DDS, INC. |
| Practice Address |
6245 N Fresno St Ste 103 Fresno CA 93710-5270 |
| Practice Telephone | 5595549999 |
| Mailing Telephone | 5595549999 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |
| Authorized Official Name | DR. JORDAN DAVID PRIETO (DDS/OWNER) |
| Authorized Official Telephone | 5599060209 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
CA | Dental Providers |
| Street Address |
6245 N FRESNO ST STE 103 |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104185784 | Wai Chan | Dentist | 6245 N Fresno St Ste 103, Fresno, CA 93710 | 2012-05-16 |
| 1871977975 | Ashley Kisling | Dentist | 6245 N Fresno St Ste 103, Fresno, CA 93710-5270 | 2015-07-17 |
| 1609273101 | Children's Dentistry and Orthodontics | Dentist | 6245 N Fresno St Ste 103, Fresno, CA 93710-5270 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1164881413 | Corbin Smith | Dentist | 7005 N Chestnut Ave Ste 101, Fresno, CA 93720-0348 | 2016-02-15 |
| 1003102443 | California Kidds Pediatric Dentistry | Dentist | 7525 N. Cedar Ave, #105, Fresno, CA 93720 | 2011-06-23 |
| 1316102015 | Jeffrey Baird Evans | Dentist | 7525 N. Cedar Ave., Suite 105, Fresno, CA 93720 | 2008-07-22 |
| 1134285877 | Maria Sheu Kidwell | Dentist | 1705 N Fine Ave, Ste. 102, Fresno, CA 93727 | 2006-12-28 |
| 1801984513 | Susie Kalinian | Dentist | 323 E Bullard Ave, Suite 103, Fresno, CA 93710-5286 | 2006-10-10 |
| 1588672877 | Rick J Jelmini | Dentist | 7104 N Fresno St Ste 101, Fresno, CA 93720-2970 | 2006-08-03 |
| 1336641000 | Zachery Tyler Davis | Dentist | 7525 N Cedar Ave Ste 105, Fresno, CA 93720-2698 | 2018-03-08 |
| 1912443029 | Alan J Vallarine Dds Inc 2 | Dentist | 2828 Fresno St, Suite 100, Fresno, CA 93721-1327 | 2017-01-12 |
| Find all providers in FRESNO | ||||
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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.