DR. GARY P CLUSSERATH (NPI# 1336262708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336262708 |
| Entity Type | Individual |
| Full Name | DR. GARY P CLUSSERATH |
| Credential | DMD |
| Practice Address |
7904 Zenith Dr Citrus Heights CA 95621-1075 |
| Practice Telephone | 5304263711 |
| Practice Fax Number | 5304263711 |
| Mailing Telephone | 5304263711 |
| Mailing Fax Number | 5304263711 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
45668 | CA | Dental Providers |
| Street Address |
7904 ZENITH DR |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95621-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612474 | Teaching Autistic Children, Inc | Behavioral Analyst | 6400 Tupelo Drive, Citrus Heights, CA 95621 | 2017-04-10 |
| 1164962023 | Elizabeth Devan | Behavior Technician | 6400 Tupelo Dr., Citrus Heights, CA 95621 | 2017-02-27 |
| 1407395940 | Jana Kenney | Counselor | 7327 #8 Auburn Oaks Court, Citrus Heights, CA 95621 | 2017-02-16 |
| 1306192026 | Steven C. Hammer, D.c. Professional Chiropractic Corp | Chiropractor | 6009 Auburn Blvd Ste 120, Citrus Heights, CA 95621 | 2012-07-31 |
| 1407131832 | Jason Court Richey | Pharmacist | 6144 Dewey Drive, Citrus Heights, CA 95621 | 2011-10-17 |
| 1184817488 | Robert Berry Mcvaugh | Marriage & Family Therapist | 6006 Broken Arrow Court, Citrus Heights, CA 95621 | 2007-08-21 |
| 1639379829 | Juliano Bianchi | Marriage & Family Therapist | 3650 A Auburn Blvd, Suite 200, Sacramento, CA 95621 | 2007-07-25 |
| 1043356785 | Louis J Orlando | Family Medicine | 5959 Greenback Lane Ste 210, Citrus Heights, CA 95621 | 2007-01-29 |
| 1578628483 | Wal-mart Stores, Inc. | Technician/Technologist | 7010 Auburn Blvd, Citrus Heights, CA 95621 | 2006-12-22 |
| 1417011461 | Rami Kaur Basrai | Dentist | 7001 Greenback Lane, Citrus Heights, CA 95621 | 2006-12-21 |
| Find all providers in zip 95621 | ||||
| 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 |
|---|---|---|---|---|
| 1598374753 | Winston Limhengco | Dentist | 6024 San Juan Ave Ste C, Citrus Heights, CA 95610-5643 | 2020-07-23 |
| 1962986356 | S. Jang Dds Incorporated | Dentist | 6406 Sunrise Blvd Ste C, Citrus Heights, CA 95610-5992 | 2018-09-20 |
| 1174789598 | Michelle Crisostomo Bartolome | Dentist | 7916 Pebble Beach Dr Ste 203, Citrus Heights, CA 95610-7790 | 2008-08-05 |
| 1205007077 | Nha-an Nguyen | Dentist | 7861 Greenback Ln, Citrus Heights, CA 95610-5909 | 2008-03-19 |
| 1174700827 | Khaled Entabi | Dentist | 5899 Sunrise Blvd, Citrus Heights, CA 95610-6866 | 2008-01-24 |
| 1699982215 | Roy Thomas Bonk | Dentist | 7916 Pebble Beach Dr Ste 208, Citrus Heights, CA 95610-7790 | 2007-05-16 |
| 1932313970 | Lyudmila Kravchuk | Dentist | 6240 San Juan Ave Ste F, Citrus Heights, CA 95610-5642 | 2007-05-09 |
| 1649492596 | Hong Quang Nguyen | Dentist | 6191 Greenback Ln Ste A, Citrus Heights, CA 95621-4737 | 2007-05-02 |
| 1487788584 | Lilya Vaisman Dds and Klara | Dentist | 6994 Sunrise Blvd, Citrus Heights, CA 95610-3144 | 2007-03-14 |
| 1962531806 | Kevin Tanner | Dentist | 8089 Madison Ave, Suite 2, Citrus Heights, CA 95610-7964 | 2007-03-05 |
| Find all providers in CITRUS HEIGHTS | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95621 |
Please comment or provide details below to improve the information on DR. GARY P CLUSSERATH.
| 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.