GAIDUCHIK DENTAL CORP (NPI# 1811459332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811459332 |
| Entity Type | Organization |
| Organization Name | GAIDUCHIK DENTAL CORP |
| Practice Address |
1350 W Robinhood Dr Ste 20 Stockton CA 95207-5519 |
| Mailing Address |
1521 E St Sacramento CA 95814-1604 |
| Practice Telephone | 2094776700 |
| Mailing Telephone | 9164446482 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Authorized Official Name | ANDREY GAIDUCHIK (PRESIDENT) |
| Authorized Official Telephone | 9163968329 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
1350 W ROBINHOOD DR STE 20 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144688532 | Andrey Gaiduchik | Dentist | 1350 W Robinhood Dr Ste 20, Stockton, CA 95207-5519 | 2016-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1457842957 | Suliman Orthodontics Inc. | Dentist | 4534 Precissi Ln Ste C, Stockton, CA 95207-6213 | 2018-05-21 |
| 1144688532 | Andrey Gaiduchik | Dentist | 1350 W Robinhood Dr Ste 20, Stockton, CA 95207-5519 | 2016-02-01 |
| 1710246640 | Anthony Hoang Nguyen | Dentist | 10615 Waterbury Dr, Stockton, CA 95209-4203 | 2012-05-12 |
| 1982721460 | Aaron Christopher Rondon | Dentist | 1002 W Robinhood Dr, Stockton, CA 95207-5604 | 2007-03-22 |
| 1073678413 | Lyndon Sumon Low | Dentist | 1110 W Robinhood Dr, Suite 200, Stockton, CA 95207-5606 | 2006-12-26 |
| 1396805107 | Kenneth K Takeda | Dentist | 532 W Harding Way Ste B, Stockton, CA 95204-5611 | 2006-12-11 |
| 1407948508 | Gary Ralph Baughman | Dentist | 756 Porter Avenue, Suite 100, Stockton, CA 95207-4233 | 2006-09-28 |
| 1821001314 | Dale E Stocking | Dentist | 3427 Deer Park Dr, Suite D, Stockton, CA 95219-2355 | 2006-08-14 |
| 1780163212 | Lam Khanh Vuong | Dentist | 678 N Wilson Way, Stockton, CA 95205-4272 | 2018-08-07 |
| Find all providers in STOCKTON | ||||
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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.