DR. JILL ELIZABETH POULOS (NPI# 1043429608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043429608 |
| Entity Type | Individual |
| Full Name | DR. JILL ELIZABETH POULOS |
| Credential | D.D.S. |
| Practice Address |
4235 Bridge St Cambria CA 93428-2101 |
| Practice Telephone | 8059275797 |
| Mailing Telephone | 8059275797 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32667 | CA | Dental Providers |
| Street Address |
4235 BRIDGE ST |
| City | CAMBRIA |
| State | CA |
| Zip Code | 93428-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578816088 | Dennis Alan Perry | Naturopath | 2320 Wilcombe Dr, Cambria, CA 93428 | 2012-10-22 |
| 1992096994 | Marian Andrea Willingham | Marriage & Family Therapist | 910 Hartford St, Cambria, CA 93428 | 2011-04-25 |
| 1558509844 | Melissa Renee Sanden | Physical Therapist | 1266 Tamson Dr, Ste 101, Cambria, CA 93428 | 2009-01-26 |
| 1568583201 | Gerald Dennis Main | Nuclear Medicine | 602 Exeter Lane, Cambria, CA 93428 | 2007-04-02 |
| 1619075066 | Health Plus Pharmacy Inc. | Pharmacy | 2306 Main St., Cambria, CA 93428 | 2006-09-20 |
| 1720096613 | Kirk Joseph Azevedo | Chiropractor | 4070 West St, Cambria, CA 93428 | 2006-08-04 |
| 1922242973 | Diaso Chiropractic Professional Corporation | Chiropractor | 4070 West St, Cambria, CA 93428 | 2009-04-21 |
| 1790201226 | Richard David Griffith Md, Inc. | Clinic/Center | 6855 Kathryn Dr, Cambria, CA 93428-2015 | 2017-08-16 |
| 1710321393 | Robert Brown | Pharmacist | 685 Evelyn Ct, Cambria, CA 93428-2017 | 2013-04-25 |
| 1396117297 | Edward A. Palmer | Marriage & Family Therapist | 673 Ashby Ln, Cambria, CA 93428-2401 | 2015-10-30 |
| Find all providers in zip 93428 | ||||
| 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 |
|---|---|---|---|---|
| 1053445379 | Dean Morgan Hilger | Dentist | 2420 Main St, Su1, Cambria, CA 93428-3406 | 2007-03-16 |
| 1407929987 | Phillip Opperman | Dentist | 2150 Main St, Suite 4, Cambria, CA 93428-3022 | 2006-11-15 |
| 1114974409 | Frank S. Fratto Jr. | Dentist | 2150 Main St, Cambria, CA 93428-3022 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
| 1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
| 1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
| 1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
| 1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
| 1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
| 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.