MJQ FAMILY DENTISTRY (NPI# 1093150740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093150740 |
| Entity Type | Organization |
| Organization Name | MJQ FAMILY DENTISTRY |
| Practice Address |
125 East N Street Benicia CA 94510 |
| Practice Telephone | 7077450636 |
| Mailing Telephone | 7077450636 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | MEL QUIBA (DENTIST) |
| Authorized Official Telephone | 7077450636 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
125 EAST N STREET |
| City | BENICIA |
| State | CA |
| Zip Code | 94510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114690 | Stacie Coveleski | Psychologist | 701 Southhampton Road, Suite 102, Benicia, CA 94510 | 2019-09-20 |
| 1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
| 1982150546 | Christine Torres | Health Educator | 777 West H Street, Benicia, CA 94510 | 2016-09-01 |
| 1548654692 | Paul Villamizar | Pharmacist | 900 Cambridge Drive Unit 11, Benicia, CA 94510 | 2015-03-26 |
| 1457768079 | Gail Frizzell | Social Worker | 865 West I Street, Benicia, CA 94510 | 2014-07-15 |
| 1528328283 | Julie Laura Rose | Acupuncturist | 555 First St., Suite 200, Benicia, CA 94510 | 2012-05-29 |
| 1720379175 | Gary Archie Plaskett | Counselor | 591 Capitol Dr, Benicia, CA 94510 | 2011-04-20 |
| 1104062405 | Dan Gary Wertheimer | Social Worker | 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 | 2008-12-17 |
| 1023266053 | Mark David Levine Md Vallejo Professional Corporation | Psychiatry & Neurology | 1021 First St Ste 5, Benicia, CA 94510 | 2008-09-03 |
| 1063676815 | June Kim-ryujin | Occupational Therapist | 562 Morning Glory Drive, Benicia, CA 94510 | 2008-07-10 |
| Find all providers in zip 94510 | ||||
| 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 |
|---|---|---|---|---|
| 1629328869 | Jacqueline Lim | Dentist | 930 Bolton Cir, Benicia, CA 94510-3620 | 2012-09-14 |
| 1487891875 | Susana Verbis | Dentist | 717 Larkspur Ct, Benicia, CA 94510-3836 | 2009-01-07 |
| 1134312986 | Christopher Scott Swoboda | Dentist | 1387 E 2nd St, Benicia, CA 94510-2836 | 2007-08-24 |
| 1831221829 | Ronald James Tosch | Dentist | 118 W K St, Benicia, CA 94510-3120 | 2007-03-12 |
| 1457481533 | Kerry K Carney | Dentist | 164 E H St, Benicia, CA 94510-3231 | 2007-03-06 |
| 1922134378 | Randall Carey Lum | Dentist | 815 First Street, Benicia, CA 94510 | 2007-02-27 |
| 1962509836 | Teresina N Wong | Dentist | 2008 Columbus Pkwy, Benicia, CA 94510-5400 | 2006-09-20 |
| 1679564447 | Mel Quiba | Dentist | 125 E N St, Benicia, CA 94510-2728 | 2005-11-02 |
| 1023464112 | Christopher Joseph Rehage | Dentist | 884 Southampton Rd, Benicia, CA 94510-1907 | 2016-05-09 |
| 1891902755 | Patrick L. Roetzer, D.d.s., Inc. | Dentist | 142 E D St, Benicia, CA 94510-3223 | 2007-05-17 |
| Find all providers in BENICIA | ||||
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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.