WILL J BROGDON (NPI# 1619179165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619179165 |
| Entity Type | Individual |
| Full Name | WILL J BROGDON |
| Credential | DDS |
| Practice Address |
445 March Ave #c Healdsburg CA 95448 |
| Mailing Address |
445 March Ave Suite C Healdsburg CA 95448 |
| Practice Telephone | 7074332090 |
| Mailing Telephone | 7074332090 |
| Mailing Fax Number | 7074336020 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS035075 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992968739 | Will Brogdon | Military Health Care Provider | Uss Nicholas, Ffg47, Fpo, AE 09579-1501 | 2008-07-02 |
| Street Address |
445 MARCH AVE #C |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164417093 | Guadalupe Nieto Hedrick | Pediatrics | 445 March Ave, Suite A, Healdsburg, CA 95448-3383 | 2005-09-16 |
| 1710011366 | Ronald D. Siegemund | Pediatrics | 445 March Ave, Suite A, Healdsburg, CA 95448-3383 | 2007-03-15 |
| 1639166366 | Damian Marsden | Pediatrics | 445 March Ave, Healdsburg, CA 95448-3383 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
| 1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
| 1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
| 1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
| 1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
| 1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
| 1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
| 1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
| Find all providers in zip 95448 | ||||
| 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 |
|---|---|---|---|---|
| 1952561276 | Roger Bartels | Dentist | 138 Matheson St, Healdsburg, CA 95448-4118 | 2008-06-10 |
| 1649493636 | Franklin Earl Ritz | Dentist | 441 East St, Healdsburg, CA 95448-3929 | 2007-04-10 |
| 1568561587 | Pamela Everson | Dentist | 1526 Healdsburg Ave, Healdsburg, CA 95448-3253 | 2006-09-22 |
| 1285629659 | Elvira Silvia Fiorentino | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2005-09-13 |
| 1881087062 | Brittany Lee Gonzales | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2015-03-11 |
| 1457697542 | Shawn Widick, D.d.s. Inc. | Dentist | 704 Healdsburg Ave, Suite A, Healdsburg, CA 95448-3651 | 2012-12-18 |
| 1982999553 | Andrew Joseph Zwers | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2011-06-12 |
| 1184939118 | Jennifer Bishop Nunez | Dentist | 1381 University St, Healdsburg, CA 95448 | 2010-08-14 |
| 1003938408 | George Peter Schulze | Dentist | 704 Healdsburg Ave, Suite A, Healdsburg, CA 95448-3651 | 2007-04-04 |
| 1992863658 | Thomas Cleland | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2006-12-05 |
| Find all providers in HEALDSBURG | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
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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.