ASK, KINZER, SIMPSON, AND RODA A PROFESSIONAL DENTAL CORP (NPI# 1992958755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992958755 |
Entity Type | Organization |
Organization Name | ASK, KINZER, SIMPSON, AND RODA A PROFESSIONAL DENTAL CORP |
Other Organization Name | AMADOR DENTAL SPECIALTIES |
Practice Address |
100 French Bar Rd Suite 103 Jackson CA 95642-2557 |
Practice Telephone | 2092233502 |
Practice Fax Number | 2092233562 |
Mailing Telephone | 2092233502 |
Mailing Fax Number | 2092233562 |
Enumeration Date | 2008-10-24 |
Last Update Date | 2008-10-24 |
Authorized Official Name | DR. RONNEY MIHRAN ASK (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 2092232096 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
B20858 | CA | Dental Providers |
Other Name | Type Code |
---|---|
Amador Dental Specialties | Doing Business As Name - Organization |
Street Address |
100 FRENCH BAR RD SUITE 103 |
City | JACKSON |
State | CA |
Zip Code | 95642-2557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154472025 | Leon Roda IIi | Dentist | 100 French Bar Rd, Suite 101, Jackson, CA 95642-2557 | 2007-01-16 |
1124270137 | Ask, Kinzer, Simpson, and Roda A Professiona Dental Corp | Dentist | 100 French Bar Rd, Suite 101, Jackson, CA 95642-2557 | 2008-10-21 |
1922150648 | Craig Allen Kinzer | Dentist | 100 French Bar Rd, Suite 101, Jackson, CA 95642-2557 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
Find all providers in zip 95642 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790069854 | Periodontal Associates of Jackson, P.a. | Dentist | 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 | 2011-10-06 |
1417166703 | R. Clarke Stewart | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
1235262296 | Salah Al Huwais | Dentist | 721 17th St, Jackson, MI 49203-1409 | 2007-03-13 |
1760537344 | William Edward Frey | Dentist | 100 French Bar Rd Ste 103, Jackson, CA 95642-2557 | 2007-01-24 |
1952484701 | Robert W.rives, D.d.s., P.a. | Dentist | 1445 Lelia Dr, Jackson, MS 39216-4721 | 2006-10-23 |
1497769376 | William Lance Culley | Dentist | 166a Murray Guard Dr, Jackson, TN 38305-3609 | 2006-07-28 |
1972859304 | Jamie Reed Clay | Dentist | 2500 N State St, School of Health Related Professions- Dental Hygiene, Jackson, MS 39216-4500 | 2012-08-03 |
1316110984 | Padbury and Padbury, D.d.s, M.s., P.C. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2008-04-03 |
1598974867 | Roger B. Parkes | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
1194930503 | Allan Dale Padbury Jr. | Dentist | 306 W Washington Ave, 202, Jackson, MI 49201-2169 | 2007-05-11 |
Find all providers in JACKSON |
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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.