DIANE TERESA PATKOWSKI


Address: 959 Myrtle Ave, Eureka, CA 95501-1219
Phone: 7074427078

DIANE TERESA PATKOWSKI (NPI# 1073609996) 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) 1073609996
Entity Type Individual
Full Name DIANE TERESA PATKOWSKI
Credential DDS
Practice Address 959 Myrtle Ave
Eureka
CA 95501-1219
Mailing Address 670 Ninth Street
Suite 203
Arcata
CA 95521
Practice Telephone 7074427078
Practice Fax Number 7074427298
Mailing Telephone 7078268633
Mailing Fax Number 7078268638
Enumeration Date 2006-10-05
Last Update Date 2015-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
39694 CA Dental Providers

Office Location

Street Address 959 MYRTLE AVE
City EUREKA
State CA
Zip Code 95501-1219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942815402 Jennifer Nicole Stone Dentist 959 Myrtle Ave, Eureka, CA 95501-1219 2020-09-11
1326667171 Zena El Jandali El Rifai Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2020-04-12
1861021354 Brittany Daniel Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2020-04-06
1619530755 So-yon Jang Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2019-04-15
1023503687 Armita Dehmoobadsharifabadi Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2018-06-26
1417474321 Tatum Miles Dentist 959 Myrtle Ave, Eureka, CA 95501 2017-08-23
1053845644 Marisa M Tegarden Dental Hygienist 959 Myrtle Ave, Eureka, CA 95501-1219 2017-04-20
1427582063 Giuliana Di Piazza Student in an Organized Health Care Education/Training Program 959 Myrtle Ave, Eureka, CA 95501-1219 2017-04-19
1447701446 Tiffany Nicole Forbes Dental Hygienist 959 Myrtle Ave, Eureka, CA 95501-1219 2016-10-14
1417317165 Christine Aeyeon Choi Dentist 959 Myrtle Ave, Eureka, CA 95501-1219 2016-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720360209 Jeffery Holland Dentist 2332 Harrison Ave Ste E, Eureka, CA 95501-3235 2011-09-12
1770895765 John M. Carrels Dentist 708 G Ave, Eureka, SD 57437 2010-07-08
1720248537 Ronald C Ruchong Dentist 604 Harris Street, Eureka, CA 95503-4448 2008-06-16
1952592321 Brian James Smith Dentist 831 Harris Street, Eureka, CA 95503 2007-08-09
1689885261 Mohd Awwad,dds, Inc Dentist 3144 Broadway St, Suite C1, Eureka, CA 95501-3838 2007-05-24
1164643367 Eric Daniels Dds Dentist 1275 Highway 93 North, Eureka, MT 59917-0718 2007-05-02
1881815686 Timothy Mark Pentecost Dentist 2453 Buhne St, Eureka, CA 95501-3206 2007-05-01
1558582379 Troy L Baker Jr. Dentist 208 N Central Ave Ste A, Eureka, MO 63025-1824 2007-05-01
1851411367 Premiere Maxillofacial Surgeons, Inc. Dentist 3132 Harrison Ave, Eureka, CA 95503-5638 2007-03-29
1336273309 Felines Hornilla Tipton Dentist 805 Harris St, Eureka, CA 95503-4541 2007-03-14
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Competitor

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City EUREKA
Zip Code 95501

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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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