M. KUCERA, DDS, INC. (NPI# 1669976684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669976684 |
| Entity Type | Organization |
| Organization Name | M. KUCERA, DDS, INC. |
| Other Organization Name | CARING TREE CHILDREN'S DENTISTRY |
| Practice Address |
150 Gateway Dr Ste 101 Lincoln CA 95648-3316 |
| Mailing Address |
1061 E Main St Ste 101 Grass Valley CA 95945-5724 |
| Practice Telephone | 9162510170 |
| Mailing Telephone | 5302729026 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | MICHELLE KUCERA (PRESIDENT) |
| Authorized Official Telephone | 5302729026 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
59153 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Caring Tree Children's Dentistry | Doing Business As Name - Organization |
| Street Address |
150 GATEWAY DR STE 101 |
| City | LINCOLN |
| State | CA |
| Zip Code | 95648-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125460 | Mary Anne Leavell | Technician | 2010 Hwy. 193, Lincoln, CA 95648 | 2019-10-14 |
| 1184144487 | Nicolas Sean Losenicky | Non-emergency Medical Transport (VAN) | 818 Equinox Loop, Lincoln, CA 95648 | 2017-06-27 |
| 1437587946 | Sakura Moua | Pharmacist | 950 Groveland Lane, Target Pharmacy, Lincoln, CA 95648 | 2013-10-18 |
| 1154698132 | Donald R Myers | Pharmacist | 405 South Highway 65, Lincoln, CA 95648 | 2011-11-19 |
| 1568757110 | Bryan Lee | Dentist | 1510 Del Webb Blvd Ste B106, Lincoln, CA 95648 | 2011-06-11 |
| 1881901437 | Irene Bailon Hermo | Dentist | 831 Sterling Parkway Suite 130, Lincoln, CA 95648 | 2010-09-02 |
| 1851424501 | Maria Eloisa B Espiritu | Dentist | 2295 Fieldstone Drive, Suite 240, Lincoln, CA 95648 | 2007-03-13 |
| 1184752966 | Eireann Elizabeth Smith | Marriage & Family Therapist | 110 Gateway Oaks Drive, Suite 210, Lincoln, CA 95648 | 2007-03-01 |
| 1407982697 | Lincoln Internal Medicine, A Medical Corp. | Internal Medicine | 801 Sterling Parkway #120, Suite D, Lincoln, CA 95648 | 2007-02-24 |
| 1073656518 | Paul Ernest Denzler | Dentist | 588 First St., Lincoln, CA 95648 | 2007-02-15 |
| Find all providers in zip 95648 | ||||
| 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 |
|---|---|---|---|---|
| 1992295612 | S.y.y Jang Dds Corp | Dentist | 731 Sterling Pkwy Ste 100c, Lincoln, CA 95648-7307 | 2018-05-17 |
| 1083135545 | Roy S Burkhalter IIi | Dentist | 4000 East Campus Loop, Lincoln, NE 68583-0740 | 2017-07-05 |
| 1417399502 | Tavallaei Dmd Corp | Dentist | 731 Sterling Pkwy, Suite 100, Lincoln, CA 95648-7306 | 2013-07-18 |
| 1386984441 | Gregory Fought Dds PC | Dentist | 8600 Executive Woods Dr, Suite 100, Lincoln, NE 68512-9301 | 2013-02-26 |
| 1407105299 | Lincoln Pediatric Dentistry | Dentist | 4301 S 80th St, Suite A, Lincoln, NE 68516-4404 | 2012-09-07 |
| 1568504272 | Cynthia M Chan | Dentist | 3131 O St, Lincoln, NE 68510-1534 | 2007-02-12 |
| 1457400681 | South Lincoln Pediatric Dentistry LLC | Dentist | 6030 Village Dr, Suite 100, Lincoln, NE 68516 | 2007-01-09 |
| 1427113240 | Mary Virginia Osenbaugh | Dentist | 4630 Antelope Creek Rd, Suite 140, Lincoln, NE 68506-5592 | 2006-12-22 |
| 1003975640 | Tom J Milius | Dentist | 2621 S 70th St, Ste A, Lincoln, NE 68506-2911 | 2006-12-08 |
| 1104913581 | Kristin K Kohler | Dentist | 1660 S 70th St, Suite 200, Lincoln, NE 68506-1570 | 2006-10-06 |
| Find all providers in LINCOLN | ||||
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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.