WENDY J CARVAJAL


Address: 205 South St, Fort Bragg, CA 95437-5540
Phone: 7079641251

WENDY J CARVAJAL (NPI# 1740587229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740587229
Entity Type Individual
Full Name WENDY J CARVAJAL
Credential DDS
Practice Address 205 South St
Fort Bragg
CA 95437-5540
Mailing Address 2805 Carradale Dr
Roseville
CA 95661-4047
Practice Telephone 7079641251
Enumeration Date 2011-02-18
Last Update Date 2019-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 60168 CA Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2805 Carradale Dr, Roseville, CA 956614047 9166776386

Office Location

Street Address 205 SOUTH ST
City FORT BRAGG
State CA
Zip Code 95437-5540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508861782 Wade Joseph Gray Family Medicine 205 South St, Fort Bragg, CA 95437-5540 2005-06-15
1477046027 Roy Campbell Dental Hygienist 205 South St, Fort Bragg, CA 95437-5540 2018-06-08
1457861783 Andrea Masters Nurse Practitioner 205 South St, Fort Bragg, CA 95437-5540 2017-09-29
1437501566 Jae Do Kim Dentist 205 South St, Fort Bragg, CA 95437-5540 2016-07-13
1558790774 Nadege Nerette Physician Assistant 205 South St, Fort Bragg, CA 95437-5540 2013-11-07
1932532272 Svetlana Romanovna Mulcahy Nurse Practitioner 205 South St, Fort Bragg, CA 95437-5540 2013-08-09
1013257831 Kimberly Jill Celeri Dental Hygienist 205 South St, Fort Bragg, CA 95437-5540 2013-02-15
1821340480 Genevieve Marilyn Gonzalez Counselor 205 South St, Fort Bragg, CA 95437 2012-10-08
1447500988 Ted Michael Aames Counselor 205 South St, Fort Bragg, CA 95437-5540 2012-09-12
1073841540 Lynne Barbara Bornheim Social Worker 205 South St, Fort Bragg, CA 95437 2009-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902357437 Mendocino Coast Hospitality Center Community/Behavioral Health 137 E. Oak Street, Fort Bragg, CA 95437 2016-10-19
1144604570 Erin Paul Community Health Worker 474 South Franklin Street, Fort Bragg, CA 95437 2015-07-15
1508125790 Joel Macgregor Green Marriage & Family Therapist 331- G Redwood Ave., Fort Bragg, CA 95437 2012-05-09
1013244102 Jenna Glasscock Counselor 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 2009-11-10
1770819641 Patrick Lenaghan Emergency Medicine 707 River Dr, Fort Bragg, CA 95437 2009-10-27
1043455827 M. Lee Baker Dentist 890 River Dr, Fort Bragg, CA 95437 2008-12-09
1528250495 Christine Anne Samas Social Worker 656a Harrison St., Fort Bragg, CA 95437 2007-08-15
1083822811 Katharine L. White Marriage & Family Therapist 137 E Oak Street, Fort Bragg, CA 95437 2007-05-17
1053525873 Marty Christine Johnson Marriage & Family Therapist 331 E. Redwood Ave, Fort Bragg, CA 95437 2007-05-10
1528114741 Kate Teresa Donohue Psychologist 19201 Noyo Acres Dr, Fort Bragg, CA 95437 2007-01-29
Find all providers in zip 95437

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700498631 Jaclyn Jennifer Willis Dentist Ardennes Street, Fort Bragg, NC 28307 2020-08-21
1487265039 John Michael Mckelvey Jr. Dentist 6238 Ardennes St, Fort Bragg, NC 28310-0001 2020-08-16
1447805254 Ross Carroll Dentist 1700 Goldberg St, Fort Bragg, NC 28310-0001 2019-08-08
1003398850 Bailey Moorhead Dentist Bldg C-6238 Ardennes Road, Fort Bragg, NC 28307 2018-08-29
1679054217 Christopher Cetnar Dentist Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 2018-08-22
1316427107 Alexandrea Lee Clark Dentist Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 2018-08-21
1528546322 Michael J Rethman Dentist Bldg M4861 Logistics Avenue Joel Dental Clinic, Fort Bragg, NC 28310-7302 2018-08-02
1245749324 Michael Stewart Almony Dentist Bldg C-6238 Ardennes St, Fort Bragg, NC 28310-0001 2017-09-21
1609392034 Elliot James Devinney Dentist Usa Dental Activity, Attn: Mcds Na B, Bldg 6837 Normandy Drive, Fort Bragg, NC 28310-7302 2017-08-17
1093231425 Walter Garwood Hinman V Dentist Bldg 6837 Normandy Drive Attn: Mcds Na B, Fort Bragg, NC 28310-0001 2017-08-17
Find all providers in FORT BRAGG

Competitor

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City FORT BRAGG
Zip Code 95437

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Dataset Information

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.

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