MARY LOU FITZPATRICK (NPI# 1811065527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811065527 |
| Entity Type | Individual |
| Full Name | MARY LOU FITZPATRICK |
| Credential | DDS |
| Practice Address |
1601 Mchenry Village Way Suite 10-a Modesto CA 95350-4307 |
| Mailing Address |
1600 Mc Henry Village Way Suite 10-a Modesto CA 95350 |
| Practice Telephone | 2095275727 |
| Practice Fax Number | 2095274626 |
| Mailing Telephone | 2095275727 |
| Mailing Fax Number | 2095274626 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
39633 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108116 | Mary Kathryn Fitzpatrick | Behavioral Analyst | 14637 Mulholland Dr, Los Angeles, CA 90077-1715 | 2019-01-25 |
| 1023459344 | Mary Fitzpatrick | Counselor | 618 S 1st St, West Dundee, IL 60118-2906 | 2013-07-15 |
| 1447524418 | Mary C Fitzpatrick | Registered Nurse | 10412 Springfield Blvd, Queens Village, NY 11429-2033 | 2012-03-08 |
| 1881811370 | Mary E. Fitzpatrick | Nurse Practitioner | 4765 Ogletown - Stanton Road, Suite 1e-20, Newark, DE 19713 | 2007-04-19 |
| 1346385747 | Mary Fitzpatrick | Psychologist | 14 5th Ave, New York, NY 10011-8825 | 2007-02-21 |
| 1891858627 | Mary Elaine Fitzpatrick | Counselor | 631 Clark Ave, Billings, MT 59101-1614 | 2006-12-19 |
| 1891771838 | Mary Elizabeth Fitzpatrick | Nurse Practitioner | 4 Elliot Way, Suite 200, Manchester, NH 03103-3547 | 2005-12-21 |
| 1417507062 | Mary Fitzpatrick | Social Worker | 1654 W Onondaga St, Syracuse, NY 13204-3318 | 2019-09-16 |
| 1508291113 | Mary Beth Fitzpatrick | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2013-09-13 |
| 1457696932 | Mary Fitzpatrick | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2012-12-10 |
| Street Address |
1601 MCHENRY VILLAGE WAY SUITE 10-A |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386813509 | Fitzpatrick,mary,dds Inc | Dentist | 1601 Mchenry Village Way, Ste 10-a, Modesto, CA 95350-4307 | 2008-02-21 |
| 1255547204 | Gregory E Shinkwin | Dentist | 1601 Mchenry Village Way, Suite 4, Modesto, CA 95350-4307 | 2007-05-15 |
| 1912047259 | Raminder Kaur Pandher | Dentist | 1601 Mchenry Village Way, Suite 1, Modesto, CA 95350-4307 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658305 | Rigel Smart | Dentist | 103 Mchenry Ave, Modesto, CA 95354-0541 | 2018-08-13 |
| 1801373220 | Nan Xiang | Dentist | 2217 Coffee Rd # A, Modesto, CA 95355-2307 | 2018-07-27 |
| 1699261495 | Kwang Min Lim | Dentist | 1429 College Ave Ste D, Modesto, CA 95350-4046 | 2018-07-03 |
| 1558872077 | Franklin Cordero Dmd, Inc. | Dentist | 1207 14th St, Modesto, CA 95354-1005 | 2017-10-24 |
| 1083130538 | Misty Autumn Henne-bhullar | Dentist | 3219 Mchenry Ave, Modesto, CA 95350-1457 | 2017-08-16 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1811352404 | Chahal Dental Corporation | Dentist | 2217 Coffee Rd, Suite A, Modesto, CA 95355-2307 | 2015-12-23 |
| 1366839755 | Hillock Family Dental Inc. | Dentist | 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 | 2015-04-23 |
| 1548608425 | Ajaykumar N Patel | Dentist | 3430 Tully Rd Ste 21, Modesto, CA 95350-0840 | 2013-06-12 |
| 1992054308 | Satyen Desai Dental Corporation | Dentist | 1404 Mitchell Rd., Modesto, CA 95351-4948 | 2012-08-30 |
| Find all providers in MODESTO | ||||
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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.