CICELY BROOKE SMITH (NPI# 1225478936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225478936 |
| Entity Type | Individual |
| Full Name | CICELY BROOKE SMITH |
| Credential | D.D.S. |
| Practice Address |
1300 S Eliseo Dr Suite 100 Greenbrae CA 94904-2023 |
| Mailing Address |
8520 Sherwood Dr Apt. 3 West Hollywood CA 90069-4719 |
| Practice Telephone | 4154610414 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
62399 | CA | Dental Providers |
| Street Address |
1300 S ELISEO DR SUITE 100 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003887324 | David L Ogden | Internal Medicine | 1300 S Eliseo Dr, 203, Greenbrae, CA 94904-2023 | 2006-01-27 |
| 1376087882 | Gila C. Dorostkar, Dds, PC | Dentist | 1300 S Eliseo Dr, Suite 100, Greenbrae, CA 94904-2023 | 2016-12-19 |
| 1649667072 | Kwok Internal Medicine A Medical Corporation | Internal Medicine | 1300 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2023 | 2015-04-23 |
| 1780025361 | Marin Personalized Medicine, Inc. | Clinic/Center | 1300 S Eliseo Dr, Ste. # 203, Greenbrae, CA 94904-2023 | 2013-07-11 |
| 1629386867 | Mark Bazalgette, M.d., Inc. | Colon & Rectal Surgery | 1300 S Eliseo Dr, Suite 203, Greenbrae, CA 94904-2023 | 2010-09-22 |
| 1538489109 | Marin Nephrology | Internal Medicine | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2023 | 2010-06-07 |
| 1508007535 | Marin Surgical Associates | Surgery | 1300 S Eliseo Dr, Greenbrae, CA 94904-2023 | 2009-03-21 |
| 1699974899 | Anne M. Cummings, M.d. A Medical Corporation | Internal Medicine | 1300 S Eliseo Dr, Suite 201, Greenbrae, CA 94904-2023 | 2007-07-17 |
| 1558560482 | Genevieve Estilo | Internal Medicine | 1300 S Eliseo Dr, Suite 104, Greenbrae, CA 94904-2023 | 2007-07-11 |
| 1790983237 | Benjamin Joseph Nichols | Dermatology | 1300 S Eliseo Dr, Suite 207, Greenbrae, CA 94904-2023 | 2007-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376087882 | Gila C. Dorostkar, Dds, PC | Dentist | 1300 S Eliseo Dr, Suite 100, Greenbrae, CA 94904-2023 | 2016-12-19 |
| 1164549044 | Gila C Dorostkar | Dentist | 1321 S Eliseo Dr, Greenbrae, CA 94904-2024 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
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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.