SEAN MARTIN COLLINS (NPI# 1538254404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538254404 |
| Entity Type | Individual |
| Full Name | SEAN MARTIN COLLINS |
| Credential | D.D.S., M.S.D |
| Practice Address |
630 S Fairmont Ave Ste B Lodi CA 95240-3803 |
| Practice Telephone | 2093673595 |
| Practice Fax Number | 2093679276 |
| Mailing Telephone | 2093673595 |
| Mailing Fax Number | 2093679276 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
36740 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1972851533 | Sean Collins | Counselor | 4925 N. Albina Ave, Portland, OR 97217 | 2012-08-29 |
| 1538484852 | Sean M Collins | Physical Therapist | 17 Darrin Road, Dracut, MA 01826 | 2010-03-30 |
| 1689672818 | Sean Michael Collins | Physical Therapist | 4960 Route 8, Shoppers Plaza, Allison Park, PA 15101-2354 | 2005-07-12 |
| 1275054504 | Sean P Collins | Physical Therapist | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2017-06-27 |
| 1023562162 | Sean Collins | Physician Assistant | 2835 Fred Taylor Dr, Ste 2000, Columbus, OH 43202-1552 | 2016-08-05 |
| 1649657586 | Sean Joseph Collins | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655 | 2015-04-29 |
| 1386043420 | Sean Collins | Specialist/Technologist | 160 Jamerson Ctr, Blacksburg, VA 24061-0001 | 2014-08-14 |
| 1205250289 | Sean Collins | Psychologist | 407 Decatur St, Sandusky, OH 44870-2442 | 2014-02-11 |
| 1770919698 | Sean Collins | Behavioral Analyst | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2013-09-24 |
| Street Address |
630 S FAIRMONT AVE STE B |
| City | LODI |
| State | CA |
| Zip Code | 95240-3803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578885471 | Dr. Sean M. Collins | Dentist | 630 S Fairmont Ave Ste B, Lodi, CA 95240-3803 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1548747082 | Gill and Patel Dental Corporation | Dentist | 2610 Reynolds Ranch Pkwy, Ste 100, Lodi, CA 95240 | 2018-07-27 |
| 1629511308 | Jose Daniel Garcia | Licensed Vocational Nurse | 12755 Ca-88, Lodi, CA 95240 | 2016-11-29 |
| 1104372754 | Jocelyn Janel Shilue | Specialist/Technologist | 705 Brandywine Drive, Lodi, CA 95240 | 2016-09-01 |
| 1750735965 | Natharchia R Peoples | Counselor | 9150 Ca-12, Lodi, CA 95240 | 2016-04-14 |
| 1891189403 | Valley Community Couseling Services | Case Management | 1300 W. Lodi Ste G-2, Stockton, CA 95240 | 2015-03-20 |
| 1114317195 | Carol Kooyman | Speech-Language Pathologist | 831 So. Lee Ave., Lodi, CA 95240 | 2015-01-29 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1740622570 | Joshlynn Uribe | Marriage & Family Therapist | 13520 E Live Oak Rd, Lodi, CA 95240 | 2013-07-22 |
| 1902172406 | Sital Singh | Internal Medicine | 999 S Fairmont Ave Ste 125, Lodi, CA 95240 | 2012-03-29 |
| Find all providers in zip 95240 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034991 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1139 E. Kettleman Lane, Suite 101, Lodi, CA 95240 | 2020-02-07 |
| 1063431310 | Robert Eugene Sutter | Dentist | 1101 W Tokay St Ste 3, Lodi, CA 95240-3842 | 2006-07-18 |
| 1346644275 | Allen Mau | Dentist | 1117 W Tokay St, Suite B, Lodi, CA 95240-3844 | 2014-10-21 |
| 1578885471 | Dr. Sean M. Collins | Dentist | 630 S Fairmont Ave Ste B, Lodi, CA 95240-3803 | 2010-02-18 |
| 1437278496 | Steven Farrel Brizendine | Dentist | 525 S Fairmont Ave, Suite A, Lodi, CA 95240-3860 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091720 | Ellen Im Dds Inc | Dentist | 13422 Pomerado Rd Ste 201, Poway, CA 92064-3548 | 2020-10-21 |
| 1104425370 | Jack Bayraymyan Dental Group Inc. | Dentist | 2621 Zoe Ave Ste A, Huntington Park, CA 90255-4131 | 2020-10-20 |
| 1669071825 | Jack Bayraymyan Dental Group Inc. | Dentist | 418 E Glenoaks Blvd Ste 202, Glendale, CA 91207-2093 | 2020-10-20 |
| 1891394060 | Jack Bayraymyan Dental Group Inc. | Dentist | 600 S Alvarado St Ste 200-201, Los Angeles, CA 90057-3314 | 2020-10-20 |
| 1790391209 | Two Front Corp | Dentist | 2408 Grandview Ave, Venice, CA 90291-4938 | 2020-09-21 |
| 1396358453 | Bridget Powers | Dentist | 1000 Ygnacio Valley Rd, Walnut Creek, CA 94598-1812 | 2020-08-28 |
| 1144832221 | Manjeet Samra Dental Corporation | Dentist | 1700 Mchenry Ave Ste 16b, Modesto, CA 95350-4319 | 2020-08-19 |
| 1154932150 | Jacqueline Morgan Payne | Dentist | 1820 Sonoma Ave Ste 36, Santa Rosa, CA 95405-6617 | 2020-08-12 |
| 1922617802 | Andrew Levin | Dentist | 7891 Talbert Ave # 2, Huntington Beach, CA 92648-8612 | 2020-07-27 |
| 1861001885 | Robert Berger | Dentist | 2529 Via Sanchez, Palos Verdes Estates, CA 90274-2805 | 2020-07-26 |
| 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.