CHARLOTTE EUGENIE ETESSE (NPI# 1336636240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336636240 |
| Entity Type | Individual |
| Full Name | CHARLOTTE EUGENIE ETESSE |
| Credential | DDS |
| Practice Address |
665 San Rodolfo Dr Ste 117 Solana Beach CA 92075-2047 |
| Practice Telephone | 8583454497 |
| Mailing Telephone | 8583454497 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
104128 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Kingsdale Ave # 202, Redondo Beach, CA 902783417 | 3107931000 |
| Street Address |
665 SAN RODOLFO DR STE 117 |
| City | SOLANA BEACH |
| State | CA |
| Zip Code | 92075-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092490 | Tara Tryphena Steinke | Naturopath | 124 Lomas Santa Fe Dr Ste 20b, Encinitas, CA 92075 | 2020-04-22 |
| 1336782085 | Jeremy Tiefenbrun | Behavior Technician | 992 1 C Lomas Santa Fe Dr Pmb 291, Solana Beach, CA 92075 | 2019-10-25 |
| 1851827927 | Amelia Rose Clark | Physician Assistant | 437 S. Highway 101 Suite 217, Solana Beach, CA 92075 | 2017-05-10 |
| 1518348317 | Kelly Pounds | Counselor | 2101 East First Street, Santa Ana, CA 92075 | 2015-06-17 |
| 1295114908 | Synapse Hearing Health, Inc. | Audiologist | 991 Lomas Santa Fe Drive, Suite A, Solana Beach, CA 92075 | 2015-05-27 |
| 1619381464 | Michael David Leiderman | Community Health Worker | 309 N Solana Hills Drive Apt #95, Solana Beach, CA 92075 | 2014-06-19 |
| 1881932879 | Edward S. Loh | Urology | 775 Beachfront Dr., Solana Beach, CA 92075 | 2013-01-25 |
| 1093076135 | Jodi Lee Abramowitz | Psychologist | 115 W Plaza St Ste 200, Solana Beach, CA 92075 | 2012-06-05 |
| 1710297692 | Aliza Danielle Cicerone | Naturopath | 124 Lomas Santa Fe Drive, Suite 206, Solana Beach, CA 92075 | 2010-10-13 |
| 1518273309 | Martin Landau-north | Marriage & Family Therapist | 731 South Highway 101, Suite 2j, Solana Beach, CA 92075 | 2010-08-31 |
| Find all providers in zip 92075 | ||||
| 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 |
|---|---|---|---|---|
| 1477697126 | Robert Alexander Randolph | Dentist | 432 N Cedros Ave, Solana Beach, CA 92075-1255 | 2007-02-16 |
| 1346392131 | Andrew Lewis Meshnik | Dentist | 775 Academy Dr, Solana Beach, CA 92075-2031 | 2007-01-18 |
| 1215087168 | Gregory A. Johnson | Dentist | 769 Academy Dr, Solana Beach, CA 92075-2031 | 2007-01-11 |
| 1396894192 | Andrea Gail Blum | Dentist | 530 Lomas Santa Fe Dr Ste K, Solana Beach, CA 92075-1346 | 2007-01-09 |
| 1770663841 | Eric D Deverill | Dentist | 437 S Highway 101 Ste 121, Solana Beach, CA 92075-2219 | 2006-10-16 |
| 1750301883 | David Charles Daughters | Dentist | 763 Academy Dr, Solana Beach, CA 92075-2031 | 2006-07-20 |
| 1932168671 | Jonathan Allen Amberg | Dentist | 781 Academy Dr, Solana Beach, CA 92075-2031 | 2006-03-21 |
| 1588071856 | Jessy Sidhu | Dentist | 769 Academy Dr, Solana Beach, CA 92075-2031 | 2014-07-17 |
| 1932310976 | Thomas A. Markle II | Dentist | 437 S Highway 101 Ste 121, Solana Beach, CA 92075-2219 | 2007-05-24 |
| 1710016217 | John Fernando Griffing | Dentist | 530 Lomas Santa Fe Dr, Suite # 5, Solana Beach, CA 92075-1349 | 2007-03-02 |
| Find all providers in SOLANA BEACH | ||||
| City | SOLANA BEACH |
| Zip Code | 92075 |
Please comment or provide details below to improve the information on CHARLOTTE EUGENIE ETESSE.
| 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.