DR. POORNIMA DUTTA


Address: 8201 Edgewater Dr, Oakland, CA 94621-2016
Phone: 5105683577

DR. POORNIMA DUTTA (NPI# 1023228087) 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) 1023228087
Entity Type Individual
Full Name DR. POORNIMA DUTTA
Credential D.D.S
Practice Address 8201 Edgewater Dr
Oakland
CA 94621-2016
Mailing Address 4011 Hemingway Cmn
Fremont
CA 94536-6019
Practice Telephone 5105683577
Mailing Telephone 5107974155
Enumeration Date 2007-05-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 55076 CA Dental Providers

Office Location

Street Address 8201 EDGEWATER DR
City OAKLAND
State CA
Zip Code 94621-2016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255429775 Vicki I-wen Wang Dentist 8201 Edgewater Dr, Suite 101, Oakland, CA 94621-2016 2006-10-10
1114158896 Jerry Lau Dentist 8201 Edgewater Dr, Suite 106, Oakland, CA 94621-2016 2009-07-29
1821247107 Qin Li Dentist 8201 Edgewater Dr, Ste 105 and 106, Oakland, CA 94621-2016 2008-09-11
1184804908 Jeffrey Paul Alexander Dentist 8201 Edgewater Dr, Suite 105. 106, Oakland, CA 94621-2016 2007-11-08
1801959515 Jeffrey P Alexander Dds A Dental Corp Dentist 8201 Edgewater Dr, Suite 105 &106, Oakland, CA 94621 2006-12-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144734864 Alameda Home Care & Hospice LLC Home Health 300 Pendleton Way Ste 328, Oakland, CA 94621 2017-11-17
1760931968 Maria Martinez Counselor 8330 Birch St., Apt. A, Oakland, CA 94621 2016-09-28
1902231301 East Bay Agencey for Children Community/Behavioral Health 1025 81st Ave, Oakland, CA 94621 2013-09-05
1710268016 Srideep Chatterjee Pharmacist 8102 E 14 Th Street, Oakland, CA 94621 2011-08-31
1285953943 Martin Pacheco Counselor 333 Hegenberger Road #600, Oakland, CA 94621 2010-05-20
1821234816 Raul Mark Miranda Grageda Physical Therapist 7817 Oakport Street, Oakland, CA 94621 2008-12-23
1306032156 Adrienne Claire Lopez Tiley Counselor 401 Roland Way Suite 100, Oakland, CA 94621 2007-09-14
1609067610 Sandra Gaspar Marriage & Family Therapist 410 Roland Way. Suite 100, Oakland, CA 94621 2007-08-05
1053512608 Ellis W. Jones Counselor 7501 International Blvd., Oakland, CA 94621 2007-05-30
1851507016 Keith Reese Social Worker 1933-57 Th Avenue, Oakland, CA 94621 2007-05-15
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346862166 Tiffany L Sum Dentist 1411 E 31st St Bldg E2, Oakland, CA 94602-1092 2020-05-14
1427607910 Karen Chong Dentist 3040 E 9th St Ste D, Oakland, CA 94601-2938 2019-09-06
1548817323 Dr. Choi, Dmd, Inc. Dentist 3511 International Blvd, Oakland, CA 94601-3521 2019-08-26
1447818760 Eric Daniel Deschenes Dentist 6200 Antioch St Ste 201, Oakland, CA 94611-2954 2019-06-01
1154801439 Tao Zhou Dentist 125 2nd St Apt 806, Oakland, CA 94607-4568 2018-08-16
1568957157 Carmen Ruth Dentist 14710 Tn-194, Oakland, TN 38060 2018-06-26
1255845640 Adrienne My-tram Nguyen, Dds - Inc Dentist 475 8th Street, Oakland, CA 94607 2017-11-22
1093233454 Scott Yoo Dds Dental Corp Dentist 2710 Telegraph Ave Ste 250, Oakland, CA 94612-1776 2017-09-06
1093246795 Said Jalil Sadri Dentist 5939 La Salle Ave, Oakland, CA 94611-3225 2017-03-23
1841651635 Phillip Wayne Olrich Dentist 407 41st St, Oakland, CA 94609-2510 2016-03-08
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Competitor

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City OAKLAND
Zip Code 94621

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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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