SMILE COUNTRY DENTAL (NPI# 1295202125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295202125 |
Entity Type | Organization |
Organization Name | SMILE COUNTRY DENTAL |
Practice Address |
140 Stony Point Rd Ste A Santa Rosa CA 95401-4121 |
Mailing Address |
3075 Beacon Blvd W Sacramento CA 95691-3462 |
Practice Telephone | 7075783188 |
Practice Fax Number | 9163843844 |
Mailing Telephone | 9167021213 |
Enumeration Date | 2018-10-29 |
Last Update Date | 2018-10-30 |
Authorized Official Name | DR. YAN KALIKA (OWNER) |
Authorized Official Telephone | 9167021213 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285119370 | Smile Country Dental | Dentist | 2016 Jefferson St, Napa, CA 94559-1214 | 2018-09-25 |
Street Address |
140 STONY POINT RD STE A |
City | SANTA ROSA |
State | CA |
Zip Code | 95401-4121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528130135 | Community Dental Services | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2006-11-15 |
1689142572 | Yan Kalika Dental Corporation | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2018-11-08 |
1396099115 | Olga Antipova | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2012-10-31 |
1770864548 | Harvinder Kaur Bhullar | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2011-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
Find all providers in zip 95401 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678087 | Zen Dental Care | Clinic/Center | 1591 Farmers Ln, Santa Rosa, CA 95405-7525 | 2020-01-22 |
1427529601 | Medina & Oliva Dental PC | Clinic/Center | 925 Corporate Cntr Pkwy Ste G, Santa Rosa, CA 95407-5453 | 2018-12-16 |
1962743534 | De Baca Family Practice Clinic | Clinic/Center | 552 Us Hwy 54, Santa Rosa, NM 88435 | 2013-03-07 |
1124393954 | Jorge Vasquez-garcia Dds Dental Corp | Clinic/Center | 750 Stony Point Rd Ste A130, Santa Rosa, CA 95407-6863 | 2012-03-12 |
1427660695 | Erlach Anderson Temnitzer Dental Partnership | Clinic/Center | 2305 Mendocino Ave Ste A, Santa Rosa, CA 95403-3157 | 2020-08-19 |
1952837155 | Dental Group of Emine Loxley, Dds, Inc | Clinic/Center | 1144 Sonoma Ave, #107, Santa Rosa, CA 95405-4812 | 2017-05-08 |
1881061968 | George A Schneider | Clinic/Center | 1432 Townview Ln, Santa Rosa, CA 95405-7538 | 2015-08-25 |
1134517139 | Emine C. Loxley Dmd, PC | Clinic/Center | 3536 Mendocino Ave, Suite 330, Santa Rosa, CA 95403-3634 | 2014-12-30 |
1023439759 | Santa Rosa Community Healt Centers | Clinic/Center | 1110 N Dutton Ave, Santa Rosa, CA 95401-4606 | 2013-12-24 |
1801166129 | William Peter Butrica Jr. Dds, A Professional Corporation | Clinic/Center | 990 Sonoma Ave, Suite 22, Santa Rosa, CA 95404-4802 | 2012-01-03 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95401 |
Please comment or provide details below to improve the information on SMILE COUNTRY DENTAL.
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.