DR. RANDALL GAYNOR RODMAN


Address: 200 South 13th Street, No 109, Grover Beach, CA 93433
Phone: 8054874353

DR. RANDALL GAYNOR RODMAN (NPI# 1033552997) 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) 1033552997
Entity Type Individual
Full Name DR. RANDALL GAYNOR RODMAN
Credential DDS
Practice Address 200 South 13th Street
No 109
Grover Beach
CA 93433
Practice Telephone 8054874353
Practice Fax Number 8054874353
Mailing Telephone 8054874353
Mailing Fax Number 8054874353
Enumeration Date 2013-04-10
Last Update Date 2013-04-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist CALIFDDS25619 CA Dental Providers

Office Location

Street Address 200 SOUTH 13TH STREET
NO 109
City GROVER BEACH
State CA
Zip Code 93433

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306382783 Melissa Ann Richardson Registered Nurse 286 S. 16th Street, Grover Beach, CA 93433 2017-01-10
1447637475 Katherine Clair Verwest Counselor 1428 Brighton Ave., Grover Beach, CA 93433 2015-04-28
1154685352 Allyson N Thompson-knox Marriage & Family Therapist 1125 West Grand Avenue, Suite D, Grover Beach, CA 93433 2012-07-02
1851546436 Jay Alan Turner Counselor 1206 Capitola Street, Grover Beach, CA 93433 2008-11-24
1407043862 Ginette Gallagher II Public Health or Welfare 286 So. 16th St, San Luis Obispo County Health Department, Grover Beach, CA 93433 2007-10-01
1700099090 Cynthia Kae Nelson Counselor 767 Ramona Ave, Grover Beach, CA 93433 2007-05-07
1861614158 Steven Hideki Yoneda Specialist/Technologist 1660 Manhattan Avenue, Grover Beach, CA 93433 2007-05-03
1265557136 Jenna Eyton Wolfson Social Worker 901 Ramona Ave # I, Grover Beach, CA 93433 2007-03-20
1922169655 Donna Maurine Van Pelt Marriage & Family Therapist 150b S 6th St, Grover Beach, CA 93433 2006-12-13
1386719094 Connie L. (linda) Rodgers Marriage & Family Therapist 1149 Saratoga Avenue, Grover Beach, CA 93433 2006-11-21
Find all providers in zip 93433

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
1821318577 Jerry Yu Dentist 1461 W Grand Ave, Grover Beach, CA 93433-2287 2010-06-04
1205395639 Cheng Hsu Huang Dentist 1461 W Grand Ave, Grover Beach, CA 93433-2287 2019-03-15
1154709442 Kwang Lee D.d.s. Inc. Dentist 1558 W Grand Ave, Grover Beach, CA 93433-2236 2015-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306447057 Sienna Palmer Ogbevoen Dds, Inc. Dentist 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 2020-11-07
1821699737 William Bill Ngo Dentist 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 2020-11-06
1134720022 Iee Shin Dentist 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 2020-11-05
1568063634 Western Dental Services, Inc. Dentist 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 2020-11-05
1467053660 Gurjot Sidhu Dds Dental Corporation Dentist 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 2020-11-04
1821699133 Ayesha Ahmad Dentist 4910 Chapparal Way, Banning, CA 92220-3353 2020-11-03
1407457856 Yiyang Zou Dentist 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 2020-11-03
1851992481 Centinela Joseph Dental Group Dentist 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 2020-11-02
1518568138 Raime Shah Dentist 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 2020-11-02
1558961359 Tony Tataro Dentist 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 2020-10-29
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Competitor

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City GROVER BEACH
Zip Code 93433

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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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