FILLMORE DENTAL SPA (NPI# 1881884930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881884930 |
| Entity Type | Organization |
| Organization Name | FILLMORE DENTAL SPA |
| Practice Address |
3220 Fillmore St San Francisco CA 94123-3403 |
| Practice Telephone | 4156149850 |
| Practice Fax Number | 4156149881 |
| Mailing Telephone | 4156149850 |
| Mailing Fax Number | 4156149881 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Authorized Official Name | CECILA SANTOS-BERKOWITZ (OWNER) |
| Authorized Official Telephone | 4156149850 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
43590 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
43656 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GENERAL DENTIST | 43656 | 01 |
| CA | PERIODONTIST | 53490 | 01 |
| Street Address |
3220 FILLMORE ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94123-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790803989 | Cecilia Santos-berkowitz | Dentist | 3220 Fillmore St, San Francisco, CA 94123-3403 | 2007-03-26 |
| 1740736891 | San Francisco Sleep and Wellness LLC | Durable Medical Equipment & Medical Supplies | 3220 Fillmore St, San Francisco, CA 94123-3403 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611357 | Sarah Wenton Alexander | Occupational Therapist | 3007 Fillmore Street #3, San Francisco, CA 94123 | 2019-04-01 |
| 1306203138 | Cora Ann Keene | Marriage & Family Therapist | 1795 Union St, San Francisco, CA 94123 | 2016-01-25 |
| 1437556818 | Haley Alexander | Behavioral Analyst | 3750 Scott St Apt 205, San Francisco, CA 94123 | 2014-12-01 |
| 1992055040 | Robert J Buonfiglio | Psychologist | 1738 Union Street # 302, San Francisco, CA 94123 | 2012-09-17 |
| 1750656732 | Jane C Freston | Occupational Therapist | 1849 Chestnut Street, Apartment 4, San Francisco, CA 94123 | 2012-03-09 |
| 1700114212 | Marlene Ellen Kushner | Marriage & Family Therapist | 2918 Webster Street, San Francisco, CA 94123 | 2009-11-20 |
| 1487980447 | Acupuncture for Athletics | Acupuncturist | 1996 Union Street, 3rd Floor, San Francisco, CA 94123 | 2009-10-27 |
| 1104054436 | Sarah Elizabeth Bothe | Psychologist | 1738 Union Street, Suite 200, San Francisco, CA 94123 | 2009-06-25 |
| 1407099609 | Erika Cardamone | Speech-Language Pathologist | 2941 Gough St, 2, San Francisco, CA 94123 | 2009-04-17 |
| 1528216009 | Melissa Jeans Maglaque | Physical Therapist | 2065 Vallejo St Apt 3, San Francisco, CA 94123 | 2008-09-09 |
| Find all providers in zip 94123 | ||||
| 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 |
|---|---|---|---|---|
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1316544281 | Thomas Habelt | Dentist | 2033 Taraval St Ste 101, San Francisco, CA 94116-2272 | 2020-10-05 |
| 1285249052 | Stephanie Martini | Dentist | 490 Post St Ste 830, San Francisco, CA 94102-1409 | 2020-09-09 |
| 1568070910 | Makenna Marie Vierck | Dentist | 450 Sutter St Rm 2320, San Francisco, CA 94108-4209 | 2020-07-21 |
| 1407488836 | Jocelyn Y. Skelley | Dentist | 3969 24th Street, San Francisco, CA 94114 | 2020-02-04 |
| 1588205330 | Grant Cameron Lai | Dentist | 456 Montgomery St Ste Gc-3, San Francisco, CA 94104-1233 | 2019-10-02 |
| 1942861539 | Leyli Shirvani Dds Inc. | Dentist | 450 Sutter St Rm 2130, San Francisco, CA 94108-4112 | 2019-06-25 |
| 1346708385 | Marilyn Nguyen | Dentist | 178 Church St Apt 3, San Francisco, CA 94114-1131 | 2019-03-08 |
| 1205307717 | Veronica Lee | Dentist | 1426 Fillmore St Ste 215, San Francisco, CA 94115-4164 | 2018-12-09 |
| 1356810683 | Nikole Ankrom | Dentist | 513 Parnassus Ave # S738, San Francisco, CA 94143-2205 | 2018-11-15 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94123 |
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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.