CENTER FOR CORRECTIVE JAW & FACIAL SURGERY .... (NPI# 1508938523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508938523 |
| Entity Type | Organization |
| Organization Name | CENTER FOR CORRECTIVE JAW & FACIAL SURGERY .... |
| Practice Address |
7055 N Fresno St #202 Fresno CA 93720 |
| Practice Telephone | 5594324911 |
| Practice Fax Number | 5594323515 |
| Mailing Telephone | 5594324911 |
| Mailing Fax Number | 5594323515 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEON ANTON JONKER (PRESIDENT) |
| Authorized Official Telephone | 5594324911 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
7055 N FRESNO ST #202 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| 1306212428 | Robin Lynn Reisz | Dentist | 1105 E Spruce Ave Ste 204, Fresno, CA 93720-3313 | 2015-08-12 |
| 1396155875 | Phillip Austin Harrison | Dentist | 1195 W San Ramon Ave, Fresno, CA 93711-3152 | 2014-05-05 |
| 1417390253 | Brian K Huh | Dentist | 1903 E Fir Ave Ste 101, Fresno, CA 93720-3862 | 2013-04-11 |
| 1164688396 | Shabaz Sandhu | Dentist | 498 W Bluff Ave, Fresno, CA 93711-6928 | 2008-08-07 |
| 1962699777 | Scott J. Fimbres, D.d.s., Inc. | Dentist | 7585 N Colonial Ave Ste 105, Fresno, CA 93711 | 2007-09-26 |
| 1952528671 | Jason Sorensen D.d.s. A Professional Corporation | Dentist | 1480 W Herndon Ave, Fresno, CA 93711-0552 | 2007-04-20 |
| 1831282755 | David Russell Adams | Dentist | 1111 E Herndon Ave Ste 119, Fresno, CA 93720-3100 | 2006-10-02 |
| 1144257619 | Gerald Wayne Alexander | Dentist | 7585 N Colonial Ave, Ste 105, Fresno, CA 93711-5889 | 2006-06-28 |
| 1023505237 | Andrew R. Rahn, Dds, PC | Dentist | 1313 E Herndon Ave Ste 104, Fresno, CA 93720 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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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.