ROBERT A PACK (NPI# 1760418826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760418826 |
| Entity Type | Individual |
| Full Name | ROBERT A PACK |
| Credential | DDS |
| Practice Address |
15000 Arnold Drive Sonoma CA 95431-1493 |
| Mailing Address |
1600 9th Street Room 205 Mailstop 2-3 Sacramento CA 95814-6414 |
| Practice Telephone | 7079386556 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-06-23 |
| 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 | DENTA25406 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497953178 | Robert Brian Pack Jr. | Family Medicine | 987526 Nebraska Medical Ctr, Omaha, NE 68198-7526 | 2007-07-05 |
| Street Address |
15000 ARNOLD DRIVE |
| City | SONOMA |
| State | CA |
| Zip Code | 95431-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528141587 | Anne Margaret French | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-10-23 |
| 1770687352 | James Basil Haddad | Surgery | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-09-12 |
| 1497781553 | Ronald Frederick Miller | Dentist | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-23 |
| 1679509731 | David Francis Kosnick | General Practice | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-23 |
| 1871539122 | Russell Marc Elmer | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-22 |
| 1588604821 | Robert Martin Rosenblatt | Pediatrics | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-07 |
| 1487606281 | Michael B Lash | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
| 1104878909 | Carol Anne Castillo | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
| 1013969815 | Gerald Joseph Camarata | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
| 1083666861 | David Sheridan Gray | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215043369 | Janet E Young | Pediatrics | 1500 Arnold Drive, Sonoma, CA 95431-1493 | 2006-08-22 |
| 1447244405 | Timothy Wallace Kaczmar | Family Medicine | 15000 Arnold Dr, Eldridge, CA 95431-8900 | 2005-09-07 |
| 1982656724 | Mary Broderick Christensen | Family Medicine | 15000 Arnold Dr, Eldridge, CA 95431-8900 | 2006-05-17 |
| 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 |
|---|---|---|---|---|
| 1477784890 | Peter G. Meyerhof | Dentist | 684 W. Napa St., Sonoma, CA 95476 | 2009-08-03 |
| 1306099056 | Hubenette Dental Corporation | Dentist | 660 Third Street West, Sonoma, CA 95476 | 2008-10-28 |
| 1013018274 | Alexander Eugene Ivanoff | Dentist | 17776 Highway 12, Sonoma, CA 95476-3629 | 2006-09-26 |
| 1780017673 | Bradd Yoshioka | Dentist | 554 3rd St W, Sonoma, CA 95476-6502 | 2013-08-14 |
| 1316145147 | Dena Toby Marcus | Dentist | 644 3rd St W, Suite A, Sonoma, CA 95476-6861 | 2007-07-03 |
| 1619027083 | Cherise Joy Wong | Dentist | 390 W Napa St, Sonoma, CA 95476-6517 | 2007-01-10 |
| 1407956345 | Richard Lee Daffurn | Dentist | 181 Andrieux St, Suite 104, Sonoma, CA 95476-6932 | 2006-09-22 |
| 1497781553 | Ronald Frederick Miller | Dentist | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-23 |
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|---|---|---|---|---|
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| 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 |
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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.