DOWNTOWN DENTAL BENICA (NPI# 1437380300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437380300 |
| Entity Type | Organization |
| Organization Name | DOWNTOWN DENTAL BENICA |
| Practice Address |
172 East D Street Benicia CA 94510 |
| Practice Telephone | 7077453820 |
| Mailing Telephone | 7077453820 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | DR. JACK ALLEN ELDER (PRESIDENT) |
| Authorized Official Telephone | 7077453820 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
172 EAST D STREET |
| City | BENICIA |
| State | CA |
| Zip Code | 94510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164509832 | Jack A Elder | Dentist | 172 East D Street, Benicia, CA 94510 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114690 | Stacie Coveleski | Psychologist | 701 Southhampton Road, Suite 102, Benicia, CA 94510 | 2019-09-20 |
| 1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
| 1982150546 | Christine Torres | Health Educator | 777 West H Street, Benicia, CA 94510 | 2016-09-01 |
| 1548654692 | Paul Villamizar | Pharmacist | 900 Cambridge Drive Unit 11, Benicia, CA 94510 | 2015-03-26 |
| 1457768079 | Gail Frizzell | Social Worker | 865 West I Street, Benicia, CA 94510 | 2014-07-15 |
| 1093150740 | Mjq Family Dentistry | Dentist | 125 East N Street, Benicia, CA 94510 | 2013-05-08 |
| 1528328283 | Julie Laura Rose | Acupuncturist | 555 First St., Suite 200, Benicia, CA 94510 | 2012-05-29 |
| 1720379175 | Gary Archie Plaskett | Counselor | 591 Capitol Dr, Benicia, CA 94510 | 2011-04-20 |
| 1104062405 | Dan Gary Wertheimer | Social Worker | 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 | 2008-12-17 |
| 1023266053 | Mark David Levine Md Vallejo Professional Corporation | Psychiatry & Neurology | 1021 First St Ste 5, Benicia, CA 94510 | 2008-09-03 |
| Find all providers in zip 94510 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497046023 | Cyrus A. Salehi, Dds, Inc. | Clinic/Center | 127 E H St, Benicia, CA 94510-3230 | 2011-05-01 |
| 1285804872 | Brian A. Houston, Dds, A P.C. | Clinic/Center | 142 E D St, Benicia, CA 94510-3223 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.