BERNARD R. GAVRON D.D.S., P.C.


Address: 465 St. Michaels Dr., Ste 208, Santa Fe, NM 87505
Phone: 5059887356

BERNARD R. GAVRON D.D.S., P.C. (NPI# 1841598588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841598588
Entity Type Organization
Organization Name BERNARD R. GAVRON D.D.S., P.C.
Practice Address 465 St. Michaels Dr.
Ste 208
Santa Fe
NM 87505
Practice Telephone 5059887356
Practice Fax Number 5059928950
Mailing Telephone 5059887356
Mailing Fax Number 5059928950
Enumeration Date 2011-03-04
Last Update Date 2011-03-04
Authorized Official Name DR. BERNARD RAY GAVRON (PRESIDENT)
Authorized Official Telephone 5059887356
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
DD1602 NM Dental Providers

Office Location

Street Address 465 ST. MICHAELS DR.
STE 208
City SANTA FE
State NM
Zip Code 87505

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1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
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1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
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Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942263272 Kenneth H Kahn Dentist 1692 Hospital Dr, Suite 201b, Santa Fe, NM 87505-4754 2006-04-08
1386606101 Erick F Carlgren Dentist 2 Calle Medico, Suite 3, Santa Fe, NM 87505-4785 2006-04-05
1285838391 Marcus L Palermo Dentist 2100 Calle De La Vuelta, Suite C-102, Santa Fe, NM 87505-4742 2007-06-13
1023130085 James Franklin Wolcott Iv Dentist 539 Harkle Rd, Suite C, Santa Fe, NM 87505-4782 2007-04-03
1053445577 Philip B. Edgerton Dentist 5 Calle Medico, Suite-a, Santa Fe, NM 87505-4762 2007-03-15
1003897182 Bernard Ray Gavron Dentist 465 Saint Michaels Dr, Ste 208, Santa Fe, NM 87505-7670 2005-11-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669024840 Robert Hochberg, Dds, LLC Dentist 7520 Montgomery Blvd Ne Ste B, Building C, Albuquerque, NM 87109-1521 2019-07-09
1922586262 Clark Endodontics LLC Dentist 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 2018-07-30
1265835177 Gilbreth Group LLC Dentist 4111 Barbara Loop Se Ste B, Rio Rancho, NM 87124-1068 2014-10-06
1003220203 Shane Thomas Clark Dentist 2800 Coors Blvd Nw, Albuquerque, NM 87120-1204 2014-06-16
1497033310 Las Cruces Dental Associates PC Dentist 1022 9th St, Alamogordo, NM 88310-6470 2011-07-26
1780811984 Ryan Hastiin Wilson Dentist 6810 Menaul Blvd Ne Ste B, Albuquerque, NM 87110 2009-06-15
1356508931 David Lloyd Hadley Dentist 10409 Montgomery Pkwy Ne Ste 100, Albuquerque, NM 87111-3862 2008-05-21
1760671705 New Mexico Endodontic Specialists, PC Dentist 10151 Montgomery Blvd Ne Ste 2b, Albuquerque, NM 87111-3664 2007-10-16
1891989158 Jeffrey Michael Clark Dentist 10429 Lagrima De Oro Rd Ne, Albuquerque, NM 87111 2007-08-30
1134334907 Colin Simeon Shaw Dentist 4620 Jefferson Ln Ne Ste C, Albuquerque, NM 87109-2120 2007-05-14
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Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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