T LYONS & J RAWLINS DDS INC (NPI# 1720628985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720628985 |
| Entity Type | Organization |
| Organization Name | T LYONS & J RAWLINS DDS INC |
| Practice Address |
7806 Madison Ave Ste 200 Fair Oaks CA 95628-3593 |
| Mailing Address |
5010 Laguna Blvd # 100 Elk Grove CA 95758-4197 |
| Practice Telephone | 9164427873 |
| Mailing Telephone | 9164427873 |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | JEN SASO (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9164793432 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Surfside Kids Dental | Doing Business As Name - Organization |
| Street Address |
7806 MADISON AVE STE 200 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609903541 | Jared Gareth Danielson | Dentist | 7806 Madison Ave Ste 200, Fair Oaks, CA 95628-3593 | 2007-02-27 |
| 1366839193 | Cuauhtemoc Gonzalez | Dentist | 7806 Madison Ave Ste 200, Fair Oaks, CA 95628-3593 | 2015-04-20 |
| 1275887374 | Ryan Wittwer Dds & Joseph Rawlins Dds | Dentist | 7806 Madison Ave Ste 200, Fair Oaks, CA 95628-3593 | 2012-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609903541 | Jared Gareth Danielson | Dentist | 7806 Madison Ave Ste 200, Fair Oaks, CA 95628-3593 | 2007-02-27 |
| 1528592672 | Dentists Dynamic Services Inc | Dentist | 5060 Sunrise Blvd, Suite A5, Fair Oaks, CA 95628-4944 | 2017-04-15 |
| 1982085650 | James Musser | Dentist | 10425 Fair Oaks Blvd, Suite 101, Fair Oaks, CA 95628-7559 | 2015-06-17 |
| 1366839193 | Cuauhtemoc Gonzalez | Dentist | 7806 Madison Ave Ste 200, Fair Oaks, CA 95628-3593 | 2015-04-20 |
| 1275887374 | Ryan Wittwer Dds & Joseph Rawlins Dds | Dentist | 7806 Madison Ave Ste 200, Fair Oaks, CA 95628-3593 | 2012-10-29 |
| 1265598213 | James R. Musser, Dds, Inc. | Dentist | 10425 Fair Oaks Blvd, Suite 101, Fair Oaks, CA 95628-7559 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
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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.