GARY KOMENAKA


Address: 249 N Mcdowell Blvd, Petaluma, CA 94954-2306
Phone: 7077659262

GARY KOMENAKA (NPI# 1649284118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649284118
Entity Type Individual
Full Name GARY KOMENAKA
Credential DMD
Practice Address 249 N Mcdowell Blvd
Petaluma
CA 94954-2306
Mailing Address 555 W Benjamin Holt Dr
Building B
Stockton
CA 95207-3839
Practice Telephone 7077659262
Enumeration Date 2006-07-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
54488 CA Dental Providers

Office Location

Street Address 249 N MCDOWELL BLVD
City PETALUMA
State CA
Zip Code 94954-2306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467496893 William Cox Dental Corporation Dentist 249 N Mcdowell Blvd, Petaluma, CA 94954-2306 2006-06-15
1821024613 Rami Elias Dentist 249 N Mcdowell Blvd, Petaluma, CA 94954-2306 2006-06-23
1497790802 Megan Marie Golinveaux Dentist 249 N Mcdowell Blvd, Petaluma, CA 94954-2306 2006-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346883840 Miguel Ibarra Counselor 5350 Old Redwood Highway, Petaluma, CA 94954 2019-10-28
1073169223 Monica Renee Najera Behavior Technician 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 2019-08-14
1326607201 Making Magic Happen - People Helping People, Inc. Marriage & Family Therapist 1318 Redwood Way, Suite 260, Petaluma, CA 94954 2019-06-13
1477019917 Rubi Isela Cruz Mendoza I Behavioral Analyst 8 Round Walk Circle, Petaluma, CA 94954 2019-02-20
1932679511 Karen Christianson Behavior Technician 1670 Corporate Circle Suite 100, Petaluma, CA 94954 2018-11-27
1669956967 Alyssa Messer Assistant Behavior Analyst 1670 Corporate Cir, Petaluma, CA 94954 2018-09-21
1235620592 Mallory Paige Mullikin Nurse Practitioner 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 2018-05-22
1457723710 Lisabel Dolne Counselor 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 2015-10-27
1083080717 Pacific Restorative Center Clinic/Center 1456 Professional Drive, Suite 404, Petaluma, CA 94954 2015-08-17
1619354198 Accu Quest Hearing Centers Clinic/Center 1456 Professional Dr., Suite 404, Petaluma, CA 94954 2015-05-04
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154724763 Mona Mahmoodi Dds Inc Dentist 245 Kentucky St Ste E, Petaluma, CA 94952-2877 2014-09-28
1205262664 Nosti and Gill Dental Corporatiom Dentist 401 Kenilworth Dr Ste 960, Petaluma, CA 94952-3406 2013-09-17
1093156242 Reza K. Aryanpour Dds, A Dental Corporation Dentist 1436 Professional Dr Ste 302, Petaluma, CA 94954-6697 2013-07-16
1306183991 Brian Kent Sibbald Dentist 255 Fairview Ct, Petaluma, CA 94952-1627 2013-01-16
1396912242 Bailey Hudson Graham Iv Dentist 1126 B St, Petaluma, CA 94952-4055 2008-05-09
1104001015 Suryamanga.d.achyuta,dds,inc Dentist 1372 N Mcdowell Blvd, Suite#b-1, Petaluma, CA 94954-1179 2008-01-09
1902008204 David A Straub Dentist 511 Hayes Ln, Petaluma, CA 94952-4011 2007-05-31
1811106370 Yvonne A Szyperski Dentist 1580 East Washington St, #101, Petaluma, CA 94954 2007-05-22
1750406013 Nadia Navid Dentist 216 Howard St, Petaluma, CA 94952-2719 2007-03-19
1578697546 Yolanda Marye Mangrum Dentist 1301 Southpoint Blvd Ste A, Petaluma, CA 94954-6858 2007-03-14
Find all providers in PETALUMA

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City PETALUMA
Zip Code 94954

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Dataset Information

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.

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