MILLER AND SKINNER DENTAL CORPORATION (NPI# 1154842466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154842466 |
| Entity Type | Organization |
| Organization Name | MILLER AND SKINNER DENTAL CORPORATION |
| Other Organization Name | MERCED FAMILY DENTISTRY LLC |
| Practice Address |
560 W. 26th St. Merced CA 95340 |
| Practice Telephone | 2097235405 |
| Practice Fax Number | 2097232321 |
| Mailing Telephone | 2097235405 |
| Mailing Fax Number | 2097232321 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | MR. NATHAN WILLIAM MILLER (OWNER DENTIST) |
| Authorized Official Telephone | 2097235405 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
100236 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
61768 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Merced Family Dentistry LLC | Former Legal Business Name - Organization |
| Merced Precision Family Dentistry | Doing Business As Name - Organization |
| Street Address |
560 W. 26TH ST. |
| City | MERCED |
| State | CA |
| Zip Code | 95340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| 1396282059 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 573 E. N. Bear Creek Drive, Merced, CA 95340 | 2017-01-19 |
| Find all providers in zip 95340 | ||||
| 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 |
|---|---|---|---|---|
| 1073071965 | Gagandeep Singh Bhullar | Dentist | 3178 Collins Dr Ste C, Merced, CA 95348-3155 | 2019-03-09 |
| 1023553245 | Carolyn Elizabeth Castaneda Fassioli | Dentist | 3385 G St Ste B, Merced, CA 95340-0980 | 2016-12-23 |
| 1942547591 | Davis & O'connor Dental Corporation | Dentist | 3040 Park Avenue, Suite H, Merced, CA 95348 | 2013-01-15 |
| 1083922165 | Suk Chan Edward Yoo | Dentist | 2809 G St, Merced, CA 95340-2133 | 2010-09-22 |
| 1871826131 | Robert Creed Rowan | Dentist | 631 W 25th St, Merced, CA 95340-2814 | 2009-09-17 |
| 1457546921 | Dudley Marvin Pang | Dentist | 106 W Alexander Ave, Merced, CA 95348-3410 | 2007-09-07 |
| 1851590004 | Douglas Alan Warcup | Dentist | 550 W 25th St, Merced, CA 95340-2828 | 2007-07-17 |
| 1225247919 | Thomas E. Lequia 2nd Robert L. Hill, D.d.s. | Dentist | 2800 Park Avenue, Suite B, Merced, CA 95348-3375 | 2007-05-21 |
| 1710193453 | Jasvinder Singh Badwalz | Dentist | 676 Loughborough Dr, Merced, CA 95348-2601 | 2007-05-16 |
| 1447463385 | Irwan H. Murni, D.m.d | Dentist | 1176 Olivewood Dr, Merced, CA 95348-1210 | 2007-05-08 |
| Find all providers in MERCED | ||||
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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.