BRIAN K SIBBALD DDS INC (NPI# 1669480554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669480554 |
| Entity Type | Organization |
| Organization Name | BRIAN K SIBBALD DDS INC |
| Other Organization Name | MEDICAL CORPORATION |
| Practice Address |
8 W El Rose Dr Petaluma CA 94952 |
| Practice Telephone | 7077625363 |
| Practice Fax Number | 7077625116 |
| Mailing Telephone | 7077625363 |
| Mailing Fax Number | 7077625116 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | DR. BRIAN K SIBBALD (DENTIST) |
| Authorized Official Telephone | 7077625363 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 23669 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Medical Corporation | Other Name - Individual/Organization |
| Street Address |
8 W EL ROSE DR |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1588210280 | Janice Chan | Dentist | 1416 Professional Dr Ste 201, Petaluma, CA 94954-5108 | 2019-08-18 |
| 1841635158 | Sean Hakimi Dds A Professional Corporation | Dentist | 47 Maria Dr Ste 813, Petaluma, CA 94954-3566 | 2013-05-01 |
| 1043507627 | Thomas Randall Szutz | Dentist | 401 Kenilworth Dr, Suite 960, Petaluma, CA 94952-3400 | 2011-07-05 |
| 1578891594 | Jonathan Fillbach X | Dentist | 12 W El Rose Dr, Petaluma, CA 94952-4023 | 2009-12-02 |
| 1578621355 | Firas Jamil Husein | Dentist | 701 Sonoma Mountain Pkwy Ste E1, Petaluma, CA 94954-8519 | 2006-12-05 |
| 1871664912 | Christine T Boyer | Dentist | 1124 B St, Petaluma, CA 94952-4055 | 2006-11-12 |
| 1083718209 | Jurina Smida | Dentist | 26 4th Street, Petaluma, CA 94952 | 2006-09-08 |
| 1811003197 | Ralph David Christensen | Dentist | 245 Kentucky St, Petaluma, CA 94952-2876 | 2006-08-21 |
| 1023026911 | Thomas Vincent Dembski | Dentist | 1430 E Washington St, Petaluma, CA 94954-3631 | 2006-08-04 |
| 1225051816 | George Elwin Bunnell Jr. | Dentist | 9 W El Rose Dr, Petaluma, CA 94952-4022 | 2006-07-25 |
| Find all providers in PETALUMA | ||||
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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.