DENNIS RULON FAIRBOURN (NPI# 1730362930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730362930 |
| Entity Type | Individual |
| Full Name | DENNIS RULON FAIRBOURN |
| Credential | DMD |
| Practice Address |
100 Prison Road California State Prison Sacramento Represa CA 95671 |
| Practice Telephone | 9109858610 |
| Practice Fax Number | 9162943066 |
| Mailing Telephone | 9109858610 |
| Mailing Fax Number | 9162943066 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 24664 | CA | Dental Providers |
| Street Address |
100 PRISON ROAD CALIFORNIA STATE PRISON SACRAMENTO |
| City | REPRESA |
| State | CA |
| Zip Code | 95671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834626 | Sangita Prasad | Social Worker | 100 Prison Road, Ca Dept of Correction and Rehabilitation, Represa, CA 95671-0012 | 2007-03-06 |
| 1154953529 | Corrections and Rehabilitation | Pharmacy | 100 Prison Road, Represa, CA 95671-3000 | 2020-02-04 |
| 1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
| 1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
| 1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811207426 | Nicole Calma | Counselor | 100 Prison Road Sacramento State Prison, Represa, CA 95671 | 2010-10-15 |
| 1578737359 | Laura Beebe | Registered Nurse | 1 Prison Road, Csp Sacramento, Folsom, CA 95671 | 2008-04-14 |
| 1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
| 1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
| 1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
| 1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
| 1902810799 | Shankari S Reddy | Family Medicine | Folsom State Prison, 300 Prison Rd, Represa, CA 95671-0001 | 2006-07-28 |
| 1003197773 | Tiffanie L Bell-sprinkel | Psychologist | Prison Rd, Represa, CA 95671-0001 | 2011-09-07 |
| 1821320839 | Parker Douglas Houston | Psychologist | Prison Rd, Represa, CA 95671-0001 | 2010-02-02 |
| 1093077448 | Sarah Divin | Psychologist | 100 Prison Rd, Represa, CA 95671-0002 | 2012-06-12 |
| Find all providers in zip 95671 | ||||
| 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 |
|---|---|---|---|---|
| 1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
| 1386890655 | Jocko Sarabia | Dentist | 100 Prison Rd, Represa, CA 95671-9701 | 2008-08-18 |
| 1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
| 1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1548441033 | Changsu Park | Dentist | 100 Prison Rd, Represa, CA 95671-0002 | 2007-11-26 |
| 1871774935 | Robert Wayne Starr | Dentist | 300 Prison Rd, Represa, CA 95671-3001 | 2007-11-16 |
| 1538349444 | Glenn Burman Sturges | Dentist | 100 Prison Rd, Represa, CA 95671-3000 | 2007-11-08 |
| 1952580250 | Charles Chalfin | Dentist | 300 Prison Rd, Represa, CA 95671-3001 | 2007-11-02 |
| 1679752992 | Carl M Griffith | Dentist | 300 Prison Rd, Represa, CA 95671-3001 | 2007-11-02 |
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|---|---|---|---|---|
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| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| 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.