MR. MARK GLENN MADDOX (NPI# 1679732432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679732432 |
| Entity Type | Individual |
| Full Name | MR. MARK GLENN MADDOX |
| Credential | DDS |
| Practice Address |
18400 Chestnut St Tuolumne CA 95379 |
| Mailing Address |
Po Box 897 Tuolumne CA 95379 |
| Practice Telephone | 2099284262 |
| Mailing Telephone | 2099284262 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 23849D | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255744124 | Mark Maddox | Internal Medicine | 508 Fulton St, Durham, NC 27705-3875 | 2014-06-08 |
| 1770611196 | Mark Vincent Maddox | Optometrist | 1705 Prospect Dr, Macon, MO 63552-2602 | 2007-02-28 |
| Street Address |
18400 CHESTNUT ST |
| City | TUOLUMNE |
| State | CA |
| Zip Code | 95379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538651104 | Spring Gennay Maddox | Advanced Practice Midwife | 18400 Chestnut Ave, Tuolumne, CA 95379 | 2018-05-31 |
| 1407381965 | Betty Cardoza | Counselor | 18670 Carter Street, Tuolumne, CA 95379 | 2017-04-21 |
| 1265476964 | Cassandra Blackwell | Physician Assistant | 18880 Cherry Valley Blvd., Tuolumne, CA 95379 | 2006-06-15 |
| 1215982632 | Gary Robert Lancaster | Psychologist | 18396 Tuolumne Road, Suite 9, Tuolumne, CA 95379 | 2006-05-24 |
| 1437145380 | Robert Baker Hoffman | Chiropractor | 18880 Cherry Valley Blvd, Tuolumne, CA 95379 | 2005-09-26 |
| 1043409261 | Tina Marie Marler | Specialist | 18880 Cherry Valley Blvd, Tuolumne, CA 95379 | 2007-10-24 |
| 1669416301 | Lorie D Weldon | Nurse Practitioner | 18880 Cherry Valley Blvd, Tuolumne, CA 95379 | 2006-06-15 |
| 1912975822 | Tuolumne Me-wuk Indian Health Center | Clinic/Center | 18880 Cherry Valley Blvd, Tuolumne City, CA 95379 | 2006-03-08 |
| 1396722773 | Kitty B Haspel | Social Worker | 18382 Tuolumne Road, Toulumne, CA 95379-2080 | 2005-12-28 |
| 1861472060 | Janet L Black | Social Worker | 18382 Tuolumne Rd, Ste 9, Tuolumne, CA 95379-2080 | 2006-01-23 |
| Find all providers in zip 95379 | ||||
| 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 |
|---|---|---|---|---|
| 1265436703 | Haven Richard Doane | Dentist | 18670 Carter St, M.a.c.t. Health Board Inc. Indian Dental Clinic, Tuolumne, CA 95379-9637 | 2005-06-13 |
| 1326384413 | James Schuler | Dentist | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 | 2012-12-18 |
| 1487650701 | Dennis Charles Dryden | Dentist | 18670 Carter St, Tuolumne, CA 95379-9637 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.