DR. AUDREY DUONG (NPI# 1437636701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437636701 |
| Entity Type | Individual |
| Full Name | DR. AUDREY DUONG |
| Credential | DDS |
| Practice Address |
100 W 3rd St Cloverdale CA 95425-3204 |
| Mailing Address |
837 Henderson Ave Sunnyvale CA 94086-8731 |
| Practice Telephone | 7078944229 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 102830 | CA | Dental Providers |
| Street Address |
100 W 3RD ST |
| City | CLOVERDALE |
| State | CA |
| Zip Code | 95425-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699106781 | Coppertower Family Medical Center | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-11-27 |
| 1386076156 | Department of Health Services | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-08-05 |
| 1356529663 | Department of Health Services - Mental Health | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353148 | Beverly D. Westenberg | Technician | 20 King Ridge Hts., Cloverdale, CA 95425 | 2019-08-30 |
| 1043768807 | Sacred Space Healing & Retreat Center International, Inc. | Substance Abuse Rehabilitation Facility | 627 Cherry Creek Rd., Box 311, Cloverdale, CA 95425 | 2016-09-21 |
| 1952637027 | County of Sonoma | Clinic/Center | 140 S Cloverdale Blvd, Cloverdale, CA 95425 | 2009-10-26 |
| 1144318213 | Mark William Garwah | Chiropractor | 142 S Cloverdale Blvd, Cloverdale, CA 95425 | 2006-10-11 |
| 1487605747 | Kevin Joseph Garvin | Dentist | 118 East 2nd Street, Cloverdale, CA 95425 | 2006-05-12 |
| 1508833153 | Cheri Lynn Heffel | Nurse Practitioner | 240 N Cloverdale Blvd, Copper Towers Family Medical Center, Cloverdale, CA 95425 | 2006-03-02 |
| 1356452262 | Ronald D Schuster | Chiropractor | 240 N Cloverdale Blvd, Suite E, Cloverdale, CA 95425 | 2006-08-31 |
| 1184731234 | Richard A Nicholls | Dentist | 114 N Main St, Cloverdale, CA 95425 | 2006-08-24 |
| 1023637006 | Maria Dilley | Speech-Language Pathologist | 133 Champlain Ave, Cloverdale, CA 95425-3208 | 2020-04-10 |
| 1396076717 | Toby Daly | Acupuncturist | 103 Commercial St, Cloverdale, CA 95425-3214 | 2010-01-25 |
| Find all providers in zip 95425 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487605747 | Kevin Joseph Garvin | Dentist | 118 East 2nd Street, Cloverdale, CA 95425 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CLOVERDALE |
| Zip Code | 95425 |
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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.