DR. MARCEL EVAN ACOB (NPI# 1851901557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851901557 |
| Entity Type | Individual |
| Full Name | DR. MARCEL EVAN ACOB |
| Credential | DDS |
| Practice Address |
3453 Brookside Rd Ste A Stockton CA 95219-1788 |
| Mailing Address |
4230 Olga Ln Fair Oaks CA 95628-7036 |
| Practice Telephone | 2099551500 |
| Mailing Telephone | 9162168965 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
105213 | CA | Dental Providers |
| Street Address |
3453 BROOKSIDE RD STE A |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-1788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| 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 |
|---|---|---|---|---|
| 1124687314 | Jonathan Gordon Low | Dentist | 3031 W March Ln Ste 340, Stockton, CA 95219-6562 | 2019-06-11 |
| 1649746066 | Rommel K Bal Dds A Dental Corporation | Dentist | 1545 Saint Marks Plz Ste 1, Stockton, CA 95207-6411 | 2018-10-23 |
| 1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
| 1689079501 | Steven Mikkio Otani | Dentist | 618 Lincoln Ctr, Stockton, CA 95207-2639 | 2014-11-04 |
| 1104245398 | Bradley C. Louie, Dds, Inc. | Dentist | 4255 Pacific Ave Ste 1, Stockton, CA 95207-7638 | 2014-04-15 |
| 1497196737 | Nidhi Gupta | Dentist | 7860 West Ln, Stockton, CA 95210-3317 | 2013-07-16 |
| 1992064364 | Quan Vo Anh Nguyen Dds Inc | Dentist | 702 Porter Ave Ste F, Stockton, CA 95207-4297 | 2012-05-04 |
| 1649544404 | Cherie Diana Fiscus | Dentist | 4565 Quail Lakes Dr, Suite A2, Stockton, CA 95207-5294 | 2012-02-26 |
| 1760763767 | Leng C Haong Dds Inc | Dentist | 6323 Pacific Ave, Stockton, CA 95207 | 2011-09-02 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 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.