BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY (NPI# 1699818872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699818872 |
| Entity Type | Organization |
| Organization Name | BUNCH-PAYNE, ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
756 Porter Ave Suite 400 Stockton CA 95207-4232 |
| Practice Telephone | 2099516387 |
| Practice Fax Number | 2099512824 |
| Mailing Telephone | 2099516387 |
| Mailing Fax Number | 2099512824 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2010-09-13 |
| Authorized Official Name | DR. FRED L BUNCH (PARTNER) |
| Authorized Official Telephone | 2099516387 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | BUNCH-PAYNE ORAL AND MAXILLOFACIAL SURGERY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL DR PAYNE | D46419 | 01 |
| CA | DENTI-CAL DR BUNCH | D21974 | 01 |
| CA | PTAN - FRED BUNCH DDS | DK858Z | 01 |
| CA | PTAN - BUNCH-PAYNE OMS | DK845A | 01 |
| CA | PTAN - JEFFREY PAYNE DDS | DK863Z | 01 |
| Street Address |
756 PORTER AVE SUITE 400 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649213174 | Jeffrey Christopher Payne | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2006-06-13 |
| 1588909964 | Payne Sanghvi Oral and Maxillofacial Surgery | Oral & Maxillofacial Surgery | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2012-12-11 |
| 1346403169 | Miraj Kishor Sanghvi | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2008-07-02 |
| 1306987342 | Jose T Fidel | Dentist | 756 Porter Ave, Suite 200, Stockton, CA 95207-4232 | 2007-02-11 |
| 1912910589 | Frederick Lyle Bunch | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366479230 | Eric Boles Wall | Dentist | 6529 Inglewood Ave, A-1, Stockton, CA 95207-3864 | 2006-06-27 |
| 1649213174 | Jeffrey Christopher Payne | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2006-06-13 |
| 1376034587 | Jeremy Jacobs May, Dds, Inc. | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2018-05-23 |
| 1235500455 | Pablo Jacobo Dds Inc | Dentist | 1035 W Robinhood Dr, Stockton, CA 95207-5621 | 2015-10-14 |
| 1629414842 | Jeremy May | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219 | 2013-05-14 |
| 1861786634 | Elbert Choi | Dentist | 6529 Inglewood Ave, Suite A-1, Stockton, CA 95207-3864 | 2011-06-08 |
| 1982843033 | Nicolas S. Veaco, M.d., D.d.s., A Professional Corporation | Dentist | 3427 Deer Park Dr, Ste B, Stockton, CA 95219-2355 | 2009-02-12 |
| 1346403169 | Miraj Kishor Sanghvi | Dentist | 756 Porter Ave, Suite 400, Stockton, CA 95207-4232 | 2008-07-02 |
| 1063685303 | Veaco Md Dds George Dds Arredondo Dds A Dental Corporation | Dentist | 3427 Deer Park Dr, Sutie B, Stockton, CA 95219-2355 | 2008-04-08 |
| 1992810337 | Nicolas Veaco | Dentist | 3427 Deer Park Dr, Suite B, Stockton, CA 95219-2355 | 2006-08-19 |
| Find all providers in STOCKTON | ||||
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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.