NORTH VALLEY DENTAL (NPI# 1730631086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730631086 |
| Entity Type | Organization |
| Organization Name | NORTH VALLEY DENTAL |
| Practice Address |
770 Mason St Ste 110 Vacaville CA 95688-4648 |
| Practice Telephone | 7074471010 |
| Mailing Telephone | 7074471010 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | WAYNE N PEDERSEN (OWNER) |
| Authorized Official Telephone | 7074471010 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 64725 | CA | Dental Providers |
| Y | 122300000X | Dentist | 31510 | CA | Dental Providers |
| Street Address |
770 MASON ST STE 110 |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| 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 |
|---|---|---|---|---|
| 1447773650 | Kathleen Dailey Wright | Dentist | 196 Nut Tree Pkwy Ste A, Vacaville, CA 95687-3237 | 2017-07-19 |
| 1073976361 | Usha Mantena Dental Corporation | Dentist | 671 Elmira Rd Ste 130, Vacaville, CA 95687-4655 | 2016-04-04 |
| 1558726240 | Arvin Mehta | Dentist | 1980 Alamo Dr Ste A, Vacaville, CA 95687-6110 | 2015-12-22 |
| 1609207794 | Victoria Farr | Dentist | 1350 Burton Dr Ste 230, Vacaville, CA 95687-3542 | 2013-11-27 |
| 1063795540 | Arvin T. Mehta, Dds, Inc. | Dentist | 1980 Alamo Dr # A, Vacaville, CA 95687-6110 | 2011-09-21 |
| 1487957494 | Moheb Dmd Inc | Dentist | 2501 Nut Tree Rd, Vacaville, CA 95687 | 2010-12-13 |
| 1982878179 | Robert A Hekking Inc | Dentist | 532 W Monte Vista Ave, Vacaville, CA 95688-3620 | 2008-04-17 |
| 1336347301 | Craig Eric Carlson | Dentist | 344 Cernon St, Vacaville, CA 95688 | 2007-07-11 |
| 1285846949 | Ranilo Lising Tuazon | Dentist | 2010c Harbison Dr, Vacaville, CA 95687-3900 | 2007-05-04 |
| 1841335460 | Nicholas D Esplin | Dentist | 301 Alamo Drive, Suite F, Vacaville, CA 95688-4246 | 2007-02-21 |
| Find all providers in VACAVILLE | ||||
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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.