GARY EARL FISCUS (NPI# 1881845790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881845790 |
Entity Type | Individual |
Full Name | GARY EARL FISCUS |
Credential | D.D.S. |
Practice Address |
4565 Quail Lakes Drive Suite A-2 Stockton CA 95209 |
Practice Telephone | 2094733990 |
Practice Fax Number | 2094731725 |
Mailing Telephone | 2094733990 |
Mailing Fax Number | 2094731725 |
Enumeration Date | 2008-10-09 |
Last Update Date | 2008-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 33011 | CA | Dental Providers |
Street Address |
4565 QUAIL LAKES DRIVE SUITE A-2 |
City | STOCKTON |
State | CA |
Zip Code | 95209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
1467412809 | Jill Michelle Henderzahs-mason | Physical Therapist | 1716 W Hammer Lane, Stockton, CA 95209 | 2006-03-27 |
Find all providers in zip 95209 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
1801363825 | Western Dental Services, Inc. | Dentist | 616 W Hammer Ln Ste B, Stockton, CA 95210-3749 | 2018-10-29 |
1336635101 | Western Dental Services, Inc. | Dentist | 5756 Pacific Ave Ste 75, Stockton, CA 95207-5156 | 2018-07-05 |
1518469550 | Uriel Badillo Centeno | Dentist | 1035 W Robinhood Dr Ste 200, Stockton, CA 95207-5621 | 2018-03-06 |
1063940856 | James Rore Dds Inc | Dentist | 4255 Pacific Ave Ste 12, Stockton, CA 95207-7638 | 2017-05-24 |
1821547571 | John T. Reed, Dds, Inc. | Dentist | 333 San Carlos Way Ste A, Stockton, CA 95207-2037 | 2016-09-22 |
1285180232 | Sky Orion Martin | Dentist | 1310 E Swain Rd Ste 2, Stockton, CA 95210-3308 | 2016-08-30 |
1245683861 | Diana Furukawa | Dentist | 5345 N El Dorado St Ste 2, Stockton, CA 95207-5848 | 2016-07-19 |
1669861431 | Rajkamal Sohi | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2015-01-17 |
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.