BROOK MALAN UDALL (NPI# 1861652935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861652935 |
| Entity Type | Individual |
| Full Name | BROOK MALAN UDALL |
| Credential | DDS |
| Practice Address |
13620 Lincoln Way Auburn CA 95603-3261 |
| Mailing Address |
10100 Indian Hill Rd Newcastle CA 95658-9301 |
| Practice Telephone | 5308231284 |
| Mailing Telephone | 9166631959 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
43873 | CA | Dental Providers |
| Street Address |
13620 LINCOLN WAY |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-3261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275621419 | Mark Edward Abel | Dentist | 13620 Lincoln Way, #190, Auburn, CA 95603 | 2006-10-11 |
| 1730350703 | Eugene Paul Roeder | Psychologist | 13620 Lincoln Way, Suite 360, Auburn, CA 95603-3261 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| 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 |
|---|---|---|---|---|
| 1568026284 | Yi He | Dentist | 1404 Lake Tapps Pkwy Se Ste A103, Auburn, WA 98092-8156 | 2019-04-29 |
| 1841660537 | Auburn Dental Clinic, P. A. | Dentist | 140 A East 9th Street, 140 A, Auburn, KS 66402-0147 | 2015-10-07 |
| 1841672532 | Auburn Dental Group P.C. | Dentist | 492 Washington St, Auburn, MA 01501-5708 | 2015-06-18 |
| 1326425638 | Alayna Ruth Mender | Dentist | 7 Raymond Road, Auburn, NH 03032 | 2015-05-06 |
| 1497158257 | David Scott Phillips | Dentist | 710 12th Street Se, Auburn, WA 98002 | 2014-10-07 |
| 1124437793 | Benjamin Tubo | Dentist | 824 Southbridge St Ste 200, Auburn, MA 01501 | 2014-08-08 |
| 1811319205 | Shaun S. Lee D.d.s | Dentist | 1320 8th St Ne Ste 103, Auburn, WA 98002-4589 | 2014-01-20 |
| 1922448778 | Gilsun Yu Dds Pllc | Dentist | 4017 A St Se Ste 104, Auburn, WA 98002-8607 | 2013-06-26 |
| 1861774374 | Deedra A Truschinger | Dentist | 930 N Washington, Auburn, KS 66402 | 2011-09-12 |
| 1275814436 | Ryan Anardi | Dentist | 1320 8th St Ne Ste 101, Auburn, WA 98002-4589 | 2011-09-01 |
| Find all providers in AUBURN | ||||
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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.