GARY GRILL (NPI# 1518996099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518996099 |
| Entity Type | Individual |
| Full Name | GARY GRILL |
| Credential | DDS |
| Practice Address |
1421 Guerneville Rd Suite 102 Santa Rosa CA 95403-7220 |
| Mailing Address |
555 W Benjamin Holt Dr Building B Stockton CA 95207-3839 |
| Practice Telephone | 7075287000 |
| Practice Fax Number | 7075282214 |
| Mailing Telephone | 2094764700 |
| Mailing Fax Number | 2094786890 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
27291 | CA | Dental Providers |
| Street Address |
1421 GUERNEVILLE RD SUITE 102 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-7220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629033857 | Lerian Dental Corporation | Dentist | 1421 Guerneville Rd, #102, Santa Rosa, CA 95403-7220 | 2006-04-19 |
| 1124631494 | Eylin Margarita Blake | Counselor | 1421 Guerneville Rd, Santa Rosa, CA 95403-7220 | 2020-08-26 |
| 1063927713 | Tenaya L Perine | Counselor | 1421 Guerneville Rd, Santa Rosa, CA 95403-7220 | 2017-12-04 |
| 1649622549 | Ross Unguren | Hearing Instrument Specialist | 1421 Guerneville Rd, Ste 224, Santa Rosa, CA 95403-7220 | 2016-07-05 |
| 1841677325 | Yuliana Ulloa | Counselor | 1421 Guerneville Rd, Suite 218, Santa Rosa, CA 95403-7220 | 2015-05-04 |
| 1255733861 | Jennifer Kettmann | Counselor | 1421 Guerneville Rd, Suite 218, Santa Rosa, CA 95403-7220 | 2014-09-25 |
| 1346676335 | Ronald Michael Tureck Jr. | Counselor | 1421 Guerneville Rd, Suite 218, Santa Rosa, CA 95403-7220 | 2013-09-23 |
| 1366884041 | Kristine S. Drawsky | Social Worker | 1421 Guerneville Rd, #228, Santa Rosa, CA 95403-7220 | 2013-07-23 |
| 1811271687 | Adam Douglas Jasa | Hearing Instrument Specialist | 1421 Guerneville Rd, 224, Santa Rosa, CA 95403-7220 | 2011-09-28 |
| 1700072030 | California Hearing Solutions Inc | Audiologist-Hearing Aid Fitter | 1421 Guerneville Rd, Suite 224, Santa Rosa, CA 95403-7220 | 2007-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013047497 | Paul James Steigerwald | Dentist | 868 2nd St, Santa Rosa, CA 95404-4610 | 2007-03-06 |
| 1801958558 | Jay Uemura | Dentist | 1416 Townview Ln, Santa Rosa, CA 95405-7538 | 2006-12-15 |
| 1487730875 | James Alan Simonds | Dentist | 2213 Mendocino Ave, Suite A, Santa Rosa, CA 95403-3112 | 2006-10-27 |
| 1154946622 | J. Jay Uemura, D.d.s. A Dental Corporation | Dentist | 1416 Townview Ln, Santa Rosa, CA 95405-7538 | 2020-06-10 |
| 1306048608 | Gregory G Steiner | Dentist | 90 Doctors Park Dr # A, Santa Rosa, CA 95405-6615 | 2007-05-31 |
| 1295941474 | Patricia A Murray | Dentist | 1100 Sonoma Ave, Suite D, Santa Rosa, CA 95405-8901 | 2007-05-15 |
| 1881812766 | Richard Stephen Jenderseck | Dentist | 1416 Townview Ln, Santa Rosa, CA 95405 | 2007-04-23 |
| 1689892572 | Walter Reed Dickinson | Dentist | 1416 Townview Ln, Santa Rosa, CA 95405 | 2007-04-23 |
| 1487703328 | Craig Wilson | Dentist | 4655 Hoen Ave, Suite 3, Santa Rosa, CA 95405-7800 | 2007-01-09 |
| 1720174592 | Christine Ford | Dentist | 101 Brookwood Ave, Suite 203, Santa Rosa, CA 95404-5259 | 2006-10-05 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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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.