DR. CAMERON LEDYARD ABOUDARA (NPI# 1982739769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982739769 |
| Entity Type | Individual |
| Full Name | DR. CAMERON LEDYARD ABOUDARA |
| Credential | DDS |
| Practice Address |
1001 Country Club Dr Suite #c Moraga CA 94556-1952 |
| Practice Telephone | 9253761350 |
| Mailing Telephone | 9253761350 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
48781 | CA | Dental Providers |
| Street Address |
1001 COUNTRY CLUB DR SUITE #C |
| City | MORAGA |
| State | CA |
| Zip Code | 94556-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275994154 | Niousha Saghafi | Dentist | 1016 Country Club Dr Axelrode Orthodontics, Moraga, CA 94556 | 2016-03-18 |
| 1992132120 | Christy Cork Acker | Physical Therapist | 478 Kingsford Drive, Moraga, CA 94556 | 2013-10-02 |
| 1013205301 | Kian Tavallaei | Dentist | 533 Moraga Road Suite 230, Moraga, CA 94556 | 2011-07-20 |
| 1952496077 | Marquis Companies I, Inc | Skilled Nursing Facility | 348 Rheem Blvd, Moraga, CA 94556 | 2006-10-04 |
| 1932123312 | William Larry Strauss | Internal Medicine | 346 Rheem Blvd, Ste 105, Moraga, CA 94556 | 2006-07-27 |
| 1285677039 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 580 Moraga Rd, Moraga, CA 94556 | 2006-06-13 |
| 1922071661 | William E Schwertscharf | Optometrist | 1030 Country Club Dr, Suite A, Moraga, CA 94556 | 2006-02-13 |
| 1124634472 | Kira Paulin | Specialist/Technologist | 1928 Saint Marys Rd, Moraga, CA 94556 | 2020-09-22 |
| 1780124156 | Esther Wu | Student in an Organized Health Care Education/Training Program | 41 Miramonte Dr, Moraga, CA 94556-1001 | 2017-03-03 |
| 1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
| Find all providers in zip 94556 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275994154 | Niousha Saghafi | Dentist | 1016 Country Club Dr Axelrode Orthodontics, Moraga, CA 94556 | 2016-03-18 |
| 1710193750 | Eric Louis Axelrode | Dentist | 1016 Country Club Dr, Moraga, CA 94556-1924 | 2007-05-15 |
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|---|---|---|---|---|
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| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.