GILL DALLA DENTAL INC (NPI# 1609403021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609403021 |
| Entity Type | Organization |
| Organization Name | GILL DALLA DENTAL INC |
| Other Organization Name | MODERN DENTAL AND IMPLANTS |
| Practice Address |
601 W Kettleman Ln Lodi CA 95240-6006 |
| Practice Telephone | 2093661850 |
| Mailing Telephone | 2093661850 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DR. DEVAN DALLA (CEO) |
| Authorized Official Telephone | 6464276519 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Modern Dental and Implants | Doing Business As Name - Organization |
| Street Address |
601 W KETTLEMAN LN |
| City | LODI |
| State | CA |
| Zip Code | 95240-6006 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1417585647 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 1361 S Lower Sacramento Rd Ste 605, Lodi, CA 95242-9296 | 2020-04-01 |
| 1790253524 | Franklin Miyasaki and Rasi Professional Dental Corporation | Clinic/Center | 630 S Fairmont Ave Ste D, Lodi, CA 95240-3803 | 2018-11-09 |
| 1225203334 | Jeffrey D Mckinley Etal Ptr | Clinic/Center | 109 Harris St, Lodi, OH 44254-1308 | 2008-04-29 |
| 1316158140 | James B. Duhamel, Dental Corporation | Clinic/Center | 1420 S Mills Ave Ste G, Lodi, CA 95242-4291 | 2007-05-24 |
| 1982167466 | Stephen Cheung Dds | Clinic/Center | 1420 S Mills Ave, Lodi, CA 95242-4291 | 2019-04-10 |
| 1255802435 | Utopia Dental Arts LLC | Clinic/Center | 426 Passaic Ave, Lodi, NJ 07644-1534 | 2018-12-16 |
| 1316483803 | Anisha Ranchhod Dds, Inc. | Clinic/Center | 1300 W Lodi Ave, Suite M, Lodi, CA 95242-3000 | 2017-01-09 |
| 1447430624 | Ghozlan Dental Corp. | Clinic/Center | 1745 W Kettleman Ln, Suite B, Lodi, CA 95242-9287 | 2007-11-06 |
| 1861694929 | Lodi Valley Gentle Dental LLP | Clinic/Center | 216 S Main St, Lodi, WI 53555-1121 | 2007-06-01 |
| Find all providers in LODI | ||||
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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.