GRANT ROAD DENTAL (NPI# 1659896827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659896827 |
| Entity Type | Organization |
| Organization Name | GRANT ROAD DENTAL |
| Practice Address |
1040 Grant Rd Ste 105 Mountain View CA 94040-3274 |
| Mailing Address |
15075 Los Gatos Blvd Ste 120 Los Gatos CA 95032-2049 |
| Practice Telephone | 6509388127 |
| Practice Fax Number | 6502304925 |
| Mailing Telephone | 4088848155 |
| Mailing Fax Number | 4082521904 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | ROBERT RUTNER (OWNER) |
| Authorized Official Telephone | 6509388127 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | LOS GATOS DENTAL SPECIALISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33512 | CA | Dental Providers |
| Street Address |
1040 GRANT RD STE 105 |
| City | MOUNTAIN VIEW |
| State | CA |
| Zip Code | 94040-3274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
| 1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
| 1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
| 1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
| 1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
| 1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
| 1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
| 1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
| Find all providers in zip 94040 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746676 | Min Jeong Kim | Dentist | 1077 Brighton Pl, Mountain View, CA 94040-2204 | 2020-10-08 |
| 1871085670 | Randeep Dhillon | Dentist | 65 Evandale Ave Apt B, Mountain View, CA 94043 | 2018-06-06 |
| 1649772559 | Melissa Shing | Dentist | 100 W El Camino Real Ste 78, Mountain View, CA 94040-2679 | 2018-03-07 |
| 1063920858 | Jason Jung Lee | Dentist | 2486 W El Camino Real, Mountain View, CA 94040-1421 | 2018-01-16 |
| 1568833622 | My Hang Nguyen | Dentist | 80 W El Camino Real, Suite G, Mountain View, CA 94040-2672 | 2015-10-15 |
| 1356718548 | Tracy Tat Kheradpour | Dentist | 1950 Montecito Ave Apt 22, Mountain View, CA 94043-4334 | 2015-08-24 |
| 1942540182 | Chandra Kodey Dds, Inc | Dentist | 1702 Miramonte Ave, A, Mountain View, CA 94040-3773 | 2013-02-26 |
| 1083993869 | Nazak Noorian | Dentist | 1429 Grant Rd Ste B, Mountain View, CA 94040-3250 | 2011-08-10 |
| 1831328194 | Ekta Ankur Shah | Dentist | 1929 Crisanto Ave, Apt. 326, Mountain View, CA 94040-1841 | 2009-07-08 |
| 1154573913 | Chetan Yelamanchi | Dentist | 555 W Middlefield Rd Apt S307, Mountain View, CA 94043-3553 | 2008-10-10 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 94040 |
Please comment or provide details below to improve the information on GRANT ROAD DENTAL.
| 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.