DOMINIC GORDON CARLSON (NPI# 1063026888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063026888 |
| Entity Type | Individual |
| Full Name | DOMINIC GORDON CARLSON |
| Credential | DDS |
| Practice Address |
1851 Oak St Ste A Bakersfield CA 93301-3005 |
| Practice Telephone | 6613277301 |
| Mailing Telephone | 6613277301 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 105267 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTAL BOARD OF CALIFORNIA | 105267 | 01 |
| Street Address |
1851 OAK ST STE A |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353654 | Karantej Singh Kohli | Dentist | 8200 Stockdale Hwy Ste M9, Bakersfield, CA 93311-1029 | 2020-07-10 |
| 1154978013 | Bl Le Bui | Dentist | 3015 Calloway Dr Unit 4, Bakersfield, CA 93312-2658 | 2019-08-24 |
| 1750851002 | Michael Berry | Dentist | 500 Old River Rd Ste 255, Bakersfield, CA 93311-9509 | 2018-11-29 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1407380207 | Nirup Reddy and Bortay Dehnadi D.d.s, Inc. | Dentist | 1507 Panama Ln Ste 102, Bakersfield, CA 93307-5682 | 2017-04-18 |
| 1427424563 | Jieun Park | Dentist | 4201 Jewetta Ave. A5, Bakersfield, CA 93312 | 2015-08-12 |
| 1134505498 | Arbi Ismailyan | Dentist | 3612 Coffee Rd Ste A, Bakersfield, CA 93308-5084 | 2015-08-09 |
| 1790179703 | Marvizi Dental Group | Dentist | 3720 Gosford Rd, Suite C, Bakersfield, CA 93309-7695 | 2015-03-27 |
| 1689083933 | Eric Dugum | Dentist | 6101 Sky Ranch Ave, Bakersfield, CA 93306-2452 | 2014-08-11 |
| 1588078273 | P. Hiram Rodriguez, Dds, A Professional Corporation | Dentist | 600 Coffee Rd Ste Q, Bakersfield, CA 93309-1264 | 2014-06-20 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on DOMINIC GORDON CARLSON.
| 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.