COSTES DAVIS, DDS DENTAL PRACTICE


Address: 3015 Calloway Dr Unit 14, Bakersfield, CA 93312-2659
Phone: 6615876453

COSTES DAVIS, DDS DENTAL PRACTICE (NPI# 1922457746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922457746
Entity Type Organization
Organization Name COSTES DAVIS, DDS DENTAL PRACTICE
Other Organization Name HALL OF FAME DENTAL
Practice Address 3015 Calloway Dr Unit 14
Bakersfield
CA 93312-2659
Practice Telephone 6615876453
Mailing Telephone 6615876453
Enumeration Date 2016-06-13
Last Update Date 2016-06-13
Authorized Official Name KELCIE DEE THOMPSON (BILLING/INSURANCE MANAGER)
Authorized Official Telephone 9289256522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
6359 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Hall Of Fame Dental Doing Business As Name - Organization

Office Location

Street Address 3015 CALLOWAY DR UNIT 14
City BAKERSFIELD
State CA
Zip Code 93312-2659

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1427424563 Jieun Park Dentist 4201 Jewetta Ave. A5, Bakersfield, CA 93312 2015-08-12
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306302476 Marasigan Dental, Corp Dentist 12703 Eversham Dr, Bakersfield, CA 93311-8593 2019-02-14
1942787403 Shah and Huynh Dental Corporation Dentist 1403 Allen Rd Ste 1000, Bakersfield, CA 93314 2018-07-26
1558881151 Isaac Chong Dentist 3115 Latte Ln # 100, Bakersfield, CA 93312-2141 2017-06-23
1154874162 Gouda Dental Corporation Dentist 5452 California Ave, Bakersfield, CA 93309-1618 2016-07-26
1083076764 Pratik Patel Dentist 8701 Camino Media Ste A, Bakersfield, CA 93311 2016-03-22
1346653516 Brenda Joyce Buzby Dentist 9450 Stockdale Hwy Suite 110, Bakersfield, CA 93311 2014-06-05
1174967814 Phi Huynh and Bryan Watanabe Dental Corporation Dentist 11120 Stockdale Highway Suite 103, Bakersfield, CA 93311 2013-04-24
1730523879 Perry Y Jue Dentist 5101 Commerce Dr Ste 102, Bakersfield, CA 93309-0413 2013-04-19
1487991394 Ezra Solaiman Tehrani Dentist 9510 Hageman Rd Ste B, Bakersfield, CA 93312-3953 2013-01-11
1215296074 Eleanore S. Cruz D.d.s. Inc. Dentist 4004 Panama Lane, Suite 500, Bakersfield, CA 93313 2012-05-14
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Competitor

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City BAKERSFIELD
Zip Code 93312

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Dataset Information

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.

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