DEANNA MARIE MADDOX BROTHERS (NPI# 1750435152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750435152 |
| Entity Type | Individual |
| Full Name | DEANNA MARIE MADDOX BROTHERS |
| Credential | DDS |
| Practice Address |
937 San Francisco Ave South Lake Tahoe CA 96150 |
| Mailing Address |
Po Box 8979 937 San Francisco Ave South Lake Tahoe CA 96158 |
| Practice Telephone | 5305442441 |
| Practice Fax Number | 5305442179 |
| Mailing Telephone | 5305442441 |
| Mailing Fax Number | 5305442179 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4773T | NV | Dental Providers |
| Y | 122300000X | Dentist | 036732 | CA | Dental Providers |
| Street Address |
937 SAN FRANCISCO AVE |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| 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 |
|---|---|---|---|---|
| 1740649813 | Salar and Delisle LLC | Dentist | 3351 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-7977 | 2016-02-18 |
| 1588860175 | Ellery Ann Stoll | Dentist | 3351 Lake Tahoe Blvd Ste 1, South Lake Tahoe, CA 96150-7920 | 2007-06-21 |
| 1780713537 | Richard Keith Hall | Dentist | 3443 Lake Tahoe Bvd, Suite B, South Lake Tahoe, CA 96150 | 2007-03-05 |
| 1831239904 | Thomas Adam Jarrett | Dentist | 965 Tahoe Keys Blvd, South Lake Tahoe, CA 96150-7140 | 2007-02-07 |
| 1265864227 | S Kaur Dds Inc. | Dentist | 3443 Lake Tahoe Blvd, Suite # B, South Lake Tahoe, CA 96150-8910 | 2013-08-01 |
| 1336432707 | Thomas Charon | Dentist | 1060 Ski Run Blvd, South Lake Tahoe, CA 96150-7478 | 2011-05-18 |
| 1457581159 | Tamara Bill Fernandes | Dentist | 2074 Lake Tahoe Blvd, Suite 4, South Lake Tahoe, CA 96150-6407 | 2009-07-16 |
| 1740498252 | Jeanie F Kaufman | Dentist | 1077 4th St, South Lake Tahoe, CA 96150-3459 | 2007-05-18 |
| 1841393360 | Kevin John Cassidy | Dentist | 585 Tahoe Keys Blvd, Ste 2, South Lake Tahoe, CA 96150 | 2006-09-07 |
| 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 | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
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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.