PERSIMMON DENTAL CARE (NPI# 1972977510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972977510 |
| Entity Type | Organization |
| Organization Name | PERSIMMON DENTAL CARE |
| Other Organization Name | PERSIMMON DENTAL CARE |
| Practice Address |
5281 Martinelli Way Dublin CA 94568-7136 |
| Practice Telephone | 9259998282 |
| Mailing Telephone | 9259998282 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2017-04-28 |
| Authorized Official Name | CHARLES GIANG (DENTIST) |
| Authorized Official Telephone | 9259998282 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
47722 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Persimmon Dental Care | Doing Business As Name - Organization |
| Street Address |
5281 MARTINELLI WAY |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| 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 |
|---|---|---|---|---|
| 1174140131 | Jordan Brown | Dentist | 2688 Moore Station Rd, Dublin, GA 31021-2505 | 2020-06-25 |
| 1134754161 | Polaris Dental Care Dublin, Irfan Khan Dds, LLC | Dentist | 420 Metro Pl S Ste B, Dublin, OH 43017-5311 | 2020-03-10 |
| 1295375194 | Holowicki, Dds, Inc | Dentist | 5156 Blazer Pkwy Ste 200, Dublin, OH 43017-7318 | 2020-01-09 |
| 1376065359 | Dental Professionals of Pennsylvania, P.C. | Dentist | 179 N Main St Ste 101, Dublin, PA 18917-2107 | 2017-07-12 |
| 1912254988 | Jing Ying Celia Wu | Dentist | 7982 Amador Valley Blvd, Dublin, CA 94568-2308 | 2012-08-09 |
| 1922362698 | Chris S Ha | Dentist | 11595 Betlen Dr, Dublin, CA 94568 | 2012-06-27 |
| 1598024127 | Nancy Anna Mok Lee | Dentist | 3245 Dublin Blvd, Apt. #107, Dublin, CA 94568-4400 | 2012-05-16 |
| 1831466713 | Allen Julian Bowen | Dentist | 2128 Us Highway 441 N, Dublin, GA 31021-0343 | 2011-11-21 |
| 1396065520 | Brandi Burgan Harris | Dentist | 117 N Grafton St, Dublin, TX 76446-1907 | 2010-06-10 |
| 1972826030 | Diana E Alexandrescu | Dentist | 3240 Maguire Way Apt 213, Dublin, CA 94568-8602 | 2010-03-03 |
| Find all providers in DUBLIN | ||||
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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.