MIKE'S DENTAL LAB (NPI# 1134493943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134493943 |
| Entity Type | Organization |
| Organization Name | MIKE'S DENTAL LAB |
| Practice Address |
1735 Professional Drive Sacramento CA 95825 |
| Practice Telephone | 9164872236 |
| Mailing Telephone | 9164872236 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Authorized Official Name | MR. MICHAEL J TETRICK (CERTIFIED DENTAL TECHNICIAN) |
| Authorized Official Telephone | 9164872236 |
| Authorized Official Credential | CDT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | 347527 | CA | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MIKE'S DENTAL LABORATORY INC. |
| Street Address |
1735 PROFESSIONAL DRIVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972074367 | Prosomnus Sleep Technologies Inc. | Dental Laboratory | 5860 W Las Positas Blvd Ste 25, Pleasanton, CA 94588-8557 | 2018-12-10 |
| 1982192290 | Dj Dental Lab Inc | Dental Laboratory | 700 N Valley St Ste F-g, Anaheim, CA 92801-3824 | 2018-04-23 |
| 1427587724 | California Dental Arts, LLC | Dental Laboratory | 20421 Pacifica Dr, Cupertino, CA 95014-3013 | 2017-06-08 |
| 1366807950 | C-dental X-ray, Inc | Dental Laboratory | 1900 Olympic Blvd, Ste. 201, Walnut Creek, CA 94596-5037 | 2015-12-23 |
| 1932576220 | Dental Digital Design | Dental Laboratory | 17781 Sky Park Cir # D, Irvine, CA 92614-6103 | 2015-08-21 |
| 1245606847 | C-dental X-ray, Inc. | Dental Laboratory | 362 W Portal Ave, San Francisco, CA 94127-1412 | 2015-08-18 |
| 1750757696 | C-dental X-ray, Inc. | Dental Laboratory | 1475 Cedarwood Ln, Ste. D, Pleasanton, CA 94566-6153 | 2015-08-14 |
| 1639588205 | John Bilder Fund Billingsworth Lab | Dental Laboratory | 7202 Greenleaf Ave, 13303 Philadelphia St, Whittier, CA 90602-1312 | 2014-08-08 |
| 1588915615 | Usc Redmond Imaging Center | Dental Laboratory | 925 W 34th St Ste 319, Los Angeles, CA 90089-0641 | 2012-09-28 |
| 1467734491 | Brockton Dental X-ray Lab., Inc. | Dental Laboratory | 6800 Brockton Ave Ste 3, Riverside, CA 92506-3810 | 2011-09-15 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on MIKE'S DENTAL LAB.
| 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.