DR. CLIFFORD JOHN BRADSHAW (NPI# 1730227182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730227182 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD JOHN BRADSHAW |
| Credential | DMD |
| Practice Address |
801 S Ham Lane Suite D Lodi CA 95242 |
| Practice Telephone | 2093684141 |
| Practice Fax Number | 2093687450 |
| Mailing Telephone | 2093684141 |
| Mailing Fax Number | 2093687450 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25482 | CA | Dental Providers |
| Street Address |
801 S HAM LANE SUITE D |
| City | LODI |
| State | CA |
| Zip Code | 95242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861649352 | Lodi Memorial Hospital Association, Inc | Clinic/Center | 801 S Ham Lane, Suite S, Lodi, CA 95242-7501 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| 1144303389 | Richard S Forman Do Inc | Anesthesiology | 521 East Ham Lane, F, Lodi, CA 95242 | 2006-10-23 |
| Find all providers in zip 95242 | ||||
| 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 |
|---|---|---|---|---|
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1073929766 | Dr.lance E Turner Dds Inc | Dentist | 816 W Lodi Ave, Lodi, CA 95240-3302 | 2014-07-02 |
| 1790117844 | Hayashi Dental Corporation | Dentist | 531 W Kettleman Ln, Lodi, CA 95240-6005 | 2013-07-31 |
| 1225313315 | Loving Care Dental LLC | Dentist | 93 Home Pl, 1 St Floor, Lodi, NJ 07644-1513 | 2011-10-20 |
| 1417242835 | Angie Zaki-sabet | Dentist | 246 Westminster Pl, Lodi, NJ 07644-1116 | 2011-06-14 |
| 1366639072 | Nabil Gerges | Dentist | 167 Grove Street, Lodi, NJ 07644-3027 | 2007-09-26 |
| 1740470178 | Lodi Dental Group | Dentist | 531 Kettleman Ln, Lodi, CA 95240 | 2007-08-01 |
| 1417155813 | Gladys Salva Cruz | Dentist | 2314 W Kettleman Ln, Ste 109, Lodi, CA 95242-4126 | 2007-07-06 |
| 1033329552 | Stanley Lawrence Demski IIi | Dentist | 1108 W Tokay St, Lodi, CA 95240-3836 | 2007-05-23 |
| 1144344193 | Steve Ensminger | Dentist | 525 S Fairmont Ave Ste F, Lodi, CA 95240-3860 | 2007-03-16 |
| Find all providers in LODI | ||||
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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.