DR. JORGE ELLER VALDES (NPI# 1912230913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912230913 |
| Entity Type | Individual |
| Full Name | DR. JORGE ELLER VALDES |
| Credential | DDS |
| Practice Address |
10590 Enduring Freedom Drive Us Army Dental Hqs Ft Drum Fort Drum NY 13602-5005 |
| Practice Telephone | 3157726234 |
| Practice Fax Number | 3157722393 |
| Mailing Telephone | 3157726234 |
| Mailing Fax Number | 3157722393 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2012-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DI02423000 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770558777 | Jorge A. Valdes | Nurse Anesthetist, Certified Registered | 230 West 32 St, Hialeah, FL 33012 | 2006-02-22 |
| 1538729553 | Jorge Manuel Valdes | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-06-20 |
| 1386698637 | Jorge L Valdes | Podiatrist | 17901 Nw 5th St, Suite 106, Pembroke Pines, FL 33029-2810 | 2006-05-20 |
| Street Address |
10590 ENDURING FREEDOM DRIVE US ARMY DENTAL HQS FT DRUM |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078983 | Donald Foster | Dentist | 10590 Enduring Freedom Drive, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2005-10-27 |
| 1578054367 | Kathleen Willis-farmer | Dental Hygienist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2018-05-29 |
| 1881103521 | Elizabeth Haley Fowler | Dental Hygienist | 10590 Enduring Freedom Drive, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2017-09-26 |
| 1366967663 | Kaleigh Marie Namiotka | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2017-08-08 |
| 1952856114 | Jane Bowers | Dental Hygienist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2016-08-17 |
| 1497152409 | Spencer Joseph | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2014-11-20 |
| 1942606983 | Adam Schwarzberg | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2014-11-18 |
| 1285030775 | Kyle Libby | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2014-11-10 |
| 1356778500 | Aubrey Russell Hopkins | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602-5005 | 2013-10-02 |
| 1689006025 | Diondre Lamar Venable | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2013-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| 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 |
|---|---|---|---|---|
| 1801307012 | Caryn Shermetaro | Dentist | 10012 S Riva Ridge Loop, Fort Drum, NY 13602-5492 | 2017-10-14 |
| 1578621769 | Keith Jonathan Wilson | Dentist | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2006-12-04 |
| 1669087771 | Mitchell Garrett Lamb | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-15 |
| 1356955603 | Euris Miguel Mieses | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-03 |
| 1003464009 | Jacob Miller Allen | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2019-09-03 |
| 1568957694 | Sarah Marie Mcsherry | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-07-01 |
| 1366967663 | Kaleigh Marie Namiotka | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2017-08-08 |
| 1265976328 | Hye H Kim | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-12-08 |
| 1922552116 | Taylor Thomas Mason | Dentist | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2016-08-05 |
| 1558711010 | Tylen K Haderlie | Dentist | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2016-06-15 |
| Find all providers in FORT DRUM | ||||
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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.