DR. GARY STEVEN MAYNE JR. (NPI# 1417017120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417017120 |
| Entity Type | Individual |
| Full Name | DR. GARY STEVEN MAYNE JR. |
| Credential | DDS |
| Practice Address |
18th Medical Group Unit 5142 Apo AP 96367-0041 |
| Mailing Address |
Psc 80 Box 13823 Apo AP 96367-0041 |
| Practice Telephone | 5754151835 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
9885 | WA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2706 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558782524 | Gary Mayne | Social Worker | 742 James St, Syracuse, NY 13203-2017 | 2013-12-18 |
| Street Address |
18TH MEDICAL GROUP UNIT 5142 |
| City | APO |
| State | AP |
| Zip Code | 96367-0041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427047919 | Kenneth Arthur Conner | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2005-10-18 |
| 1891329462 | Nora Kohri | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2020-02-23 |
| 1255892394 | Spencer Kennedy Smith | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2019-03-29 |
| 1245713940 | Anthony J Sanger | Social Worker | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-09-10 |
| 1811474661 | Yangdi Zhou | Dentist | 18th Medical Group, Apo, AP 96368-5142 | 2018-07-24 |
| 1992293682 | Julianne Elizabeth Pilla | Military Health Care Provider | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2018-04-27 |
| 1053835181 | Bonnie Le | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-31 |
| 1578086872 | Julia Vu | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368-5142 | 2017-07-19 |
| 1205358587 | Michele Ferrer Schantz | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-07-08 |
| 1629517719 | Blake Lewis Tollison | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2017-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
| 1417467705 | Lindsay Grainger | Behavioral Analyst | 9815 Arnold Terrace, Kadena Air Base, Apo, AP 96367 | 2017-10-02 |
| 1942678289 | Zachary Cabana | Physical Therapist | 18th Medical Group/sgoy Kadena Ab, Apo, AP 96367 | 2015-09-03 |
| 1992039325 | Angela K Phillips | Nurse Practitioner | 626 Vincent Ave, 18th Medical Group, Apo, AP 96367 | 2009-10-02 |
| 1427224740 | Alberto Victor Cordova | Social Worker | Psc 80 Box 20251, Fpo, AP 96367 | 2008-05-06 |
| 1134397011 | Lesley M. Birdwell | Pharmacist | Psc 80 Box 10237, Apo, US 96367 | 2008-02-13 |
| 1891997474 | Risa A Bastien | Dentist | 18th Dental Squadron, Kadena Air Base, Apo, AP 96367 | 2007-06-05 |
| 1144369125 | Douglas Peter Olson | Dentist | Kadena Ab, Unit 5270, Apo, AP 96367 | 2007-02-06 |
| 1477614733 | Ann Victoria Jorstad | Military Health Care Provider | Edis Clinic, Psc 482 Box 1600, Fpo, AP 96367 | 2006-12-12 |
| 1376611236 | Jessica S Beal | Dietitian, Registered | Psc 80 Box 20398, Apo, AP 96367 | 2006-11-30 |
| Find all providers in zip 96367 | ||||
| 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 |
|---|---|---|---|---|
| 1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
| 1669088852 | Matthew Dejong | Dentist | Kleber Dental Clinic, Bldg 3287, Apo, AE 09227 | 2020-09-22 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1659927937 | Benjamin Kyunghan Yoon | Dentist | 618th Dental Company, Carius Dental Clinic Unit #15652, Attn: Credentails Coordinator, Apo, AP 96271-5245 | 2019-08-13 |
| 1477108967 | Shane Clay Hoffner | Dentist | 618th Dental Co, Carius Dental Clinic Bldg# P3020, Attn: Credentials Office, Apo, AP 96271-5245 | 2019-08-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1437712130 | Andrea Rose Deese | Dentist | Raf Lakenheath 48 Mdg / Sghc, Unit 5115, Apo, AE 09461-5115 | 2019-04-17 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1619440922 | Joo Park | Dentist | Cmr 402 Unit 33301, Apo, AE 09180 | 2019-01-09 |
| Find all providers in APO | ||||
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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.