DR. CLARK J GREGOR (NPI# 1275691255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275691255 |
| Entity Type | Individual |
| Full Name | DR. CLARK J GREGOR |
| Credential | DDS |
| Practice Address |
1756 Picasso Ave Suite C Davis CA 95618 |
| Mailing Address |
5703 Tufts St Davis CA 95618 |
| Practice Telephone | 5307581320 |
| Practice Fax Number | 5307581344 |
| Mailing Telephone | 5307582408 |
| Mailing Fax Number | 5307582408 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
46065 | CA | Dental Providers |
| Street Address |
1756 PICASSO AVE SUITE C |
| City | DAVIS |
| State | CA |
| Zip Code | 95618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952540551 | Sang Quang Tran, Dds, Inc | Dentist | 1756 Picasso Ave, Suite D, Davis, CA 95618-0549 | 2009-02-05 |
| 1700062916 | Lawrence S Paikoff, Md | Specialist | 1756 Picasso Ave, Ste. #e, Davis, CA 95618-0549 | 2008-01-17 |
| 1902945066 | Sang Tran | Dentist | 1756 Picasso Ave, Suite D, Davis, CA 95618-0549 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013332 | Maria Pilar Alonso Nunez | Social Worker | 2707 Henri Ct, Davis, CA 95618 | 2019-09-24 |
| 1437616349 | Dagon Jones Dds Inc. | Dentist | 2800 5th Street, Suite 100, Davis, CA 95618 | 2019-02-27 |
| 1265938484 | Martel Elizabeth Costa | Nurse Practitioner | 1909 Galileo Ct Ste A, Davis, CA 95618 | 2018-04-05 |
| 1952785644 | Avineet Boparai | Dentist | 4515 Fermi Pl Ste 106, Davis, CA 95618 | 2015-07-13 |
| 1063841096 | Sergio Vicuna Dental Corporation | Dentist | 4515 Fermi Place Suite 106, Davis, CA 95618 | 2013-11-12 |
| 1700103314 | Daren Allen Casagrande | Counselor | 315 Mace Blvd, Davis, CA 95618 | 2010-04-23 |
| 1689802803 | Rocky P.j. Jedick | Emergency Medicine | 2206 Halsey Cir, Davis, CA 95618 | 2009-06-25 |
| 1356463004 | Vincent & Associates | Speech-Language Pathologist | 3560 J Street, Suite 1, Sacramento, CA 95618 | 2007-04-04 |
| 1316075138 | New Life Clinic | Acupuncturist | 1736 Picasso Ave., Suite B, Davis, CA 95618 | 2007-03-01 |
| 1558419622 | Baoping Li | Acupuncturist | 1736 Picasso Ave, Suite B, Davis, CA 95618 | 2007-01-08 |
| Find all providers in zip 95618 | ||||
| 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 |
|---|---|---|---|---|
| 1578092854 | Shannon Chris Ram | Dentist | 1621 Oak Avenue, Suite A, Davis, CA 95616 | 2017-06-08 |
| 1104086875 | Samer Said Alassaad | Dentist | 635 Anderson Rd Ste 17, Davis, CA 95616 | 2008-06-16 |
| 1720255391 | Nikos M Menicou | Dentist | 1109 Kennedy Pl Ste 4, Davis, CA 95616-1271 | 2008-05-13 |
| 1164633509 | Wesley Shinichi Honbo | Dentist | 417 F St, Suite 1, Davis, CA 95616-4123 | 2007-05-25 |
| 1518087626 | R Bruce Thomas | Dentist | 1920 Sycamore Ln, Davis, CA 95616-0813 | 2007-03-30 |
| 1427191030 | Tracey Y Cook | Dentist | 227 C St, Davis, CA 95616-4521 | 2007-02-14 |
| 1134201783 | Angeline-diep Ngoc Lam | Dentist | 2839 Spafford St, Suite A, Davis, CA 95616-6801 | 2006-10-20 |
| 1356435325 | Howard Treman Shempp | Dentist | 1791 Oak Ave Ste D, Davis, CA 95616-1073 | 2006-10-03 |
| 1215020532 | Gregory D Wilcox | Dentist | 2079 Anderson Rd, Suite A, Davis, CA 95616-0672 | 2006-09-30 |
| 1679675441 | Fanhua Meng | Dentist | 313 Hidalgo Pl, Davis, CA 95616-0223 | 2006-09-02 |
| Find all providers in DAVIS | ||||
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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.