DENNIS PAUL NUTTER DDS, INC (NPI# 1386009884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386009884 |
| Entity Type | Organization |
| Organization Name | DENNIS PAUL NUTTER DDS, INC |
| Practice Address |
3694 Hilborn Rd Ste 100 Fairfield CA 94534-7994 |
| Practice Telephone | 7074225444 |
| Practice Fax Number | 7074221613 |
| Mailing Telephone | 7074225444 |
| Mailing Fax Number | 7074221613 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Authorized Official Name | DENNIS PAUL NUTTER (OWNER) |
| Authorized Official Telephone | 7074225444 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
28054 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | B28054 | 01 |
| Street Address |
3694 HILBORN RD STE 100 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-7994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396006110 | Adam Shaffer | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2012-06-07 |
| 1013514140 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2020-10-01 |
| 1902374739 | Adams Shaffer Dds Inc | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2018-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| 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 |
|---|---|---|---|---|
| 1740795657 | Tavallaei, D.m.d., Corporation | Dentist | 1955 W Texas St Ste 2a, Fairfield, CA 94533-4462 | 2017-12-14 |
| 1396006110 | Adam Shaffer | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2012-06-07 |
| 1326255373 | Kids First Pediatric Dentistry & Orthodontics | Dentist | 1478 Post Rd., Fairfield, CT 06824-5938 | 2007-05-17 |
| 1831211721 | Gregory Mokotoff | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2007-04-04 |
| 1821175514 | Mark Choi | Dentist | 2500 N Texas St, Suite C, Fairfield, CA 94533-1639 | 2006-11-01 |
| 1568552909 | Irma Lucia Garcia | Dentist | 3694 Hilborn Road, Fairfield, CA 94534 | 2006-10-14 |
| 1558311951 | Richard W. Kennedy | Dentist | 1246 Nilles Rd, Suite 3, Fairfield, OH 45014-2912 | 2006-05-10 |
| 1013514140 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2020-10-01 |
| 1902374739 | Adams Shaffer Dds Inc | Dentist | 3694 Hilborn Rd Ste 100, Fairfield, CA 94534-7994 | 2018-11-09 |
| 1205215837 | Kristan Joi Ingraham | Dentist | 1478 Post Rd, Fairfield, CT 06824-5938 | 2015-05-28 |
| Find all providers in FAIRFIELD | ||||
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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.