DR. JEFFREY STEPHEN GORMAN (NPI# 1770604209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770604209 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY STEPHEN GORMAN |
| Other Name | NONE NONE NONE |
| Credential | DMD |
| Practice Address |
5646 N Palm Ave Fresno CA 93704-1848 |
| Mailing Address |
2806 W Locust Ave Fresno CA 93711-0323 |
| Practice Telephone | 5594491275 |
| Practice Fax Number | 5594491282 |
| Mailing Telephone | 5594392491 |
| Mailing Fax Number | 5594491282 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 46809 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982667028 | Jeffrey D. Gorman | Internal Medicine | 600 W 98th St, Bloomington, MN 55420-4773 | 2006-04-10 |
| Street Address |
5646 N PALM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93704-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841377546 | Lawrence Allen Lowe | Dentist | 5646 N Palm Ave, Suite 104, Fresno, CA 93704-1848 | 2006-11-01 |
| 1851698740 | Richard E Johnson Dds | Durable Medical Equipment & Medical Supplies | 5646 N Palm Ave, Suite 101, Fresno, CA 93704-1848 | 2011-02-11 |
| 1265732531 | Christopher William Bauer | Dentist | 5646 N Palm Ave, Suite 106, Fresno, CA 93704-1848 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093090466 | Jennifer H Yun | Pharmacist | 5747 North Palm, Fresno, CA 93704 | 2011-10-18 |
| 1437395704 | Kenneth L. Hallstone | Marriage & Family Therapist | 4040 N. Wilson St., Fresno, CA 93704 | 2008-12-17 |
| 1811147796 | Kenneth S. Masumoto Dds Inc | Dentist | 430 W. Shaw, Fresno, CA 93704 | 2008-09-26 |
| 1578760526 | Wanda Kay Gordon Mcintosh | Social Worker | 5588 N Palm Ave # 10, Fresno, CA 93704 | 2007-07-02 |
| 1285839456 | Alison Elise Armstrong-conner | Psychologist | 6475 N. Palm Avenue, Suite 101, Fresno, CA 93704 | 2007-06-18 |
| 1952519498 | Henry Truong | Student in an Organized Health Care Education/Training Program | 615 E. Clinton Ave., Fresno, CA 93704 | 2007-05-18 |
| 1205042900 | Michelle Kathleen Gash | Clinic/Center | 5464 N Palm Ave # 101, Fresno, CA 93704 | 2007-05-16 |
| 1467674705 | Loyds Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 6520 North Colonial, Fresno, CA 93704 | 2007-05-03 |
| 1952522559 | Dawn Keisha Denise Aholu | Occupational Therapist | 5180 N. Palm, Suite 102, Fresno, CA 93704 | 2007-05-01 |
| 1235359191 | Yolanda Rodriguez Andreatta | Dental Hygienist | 310 W Shaw, Fresno, CA 93704 | 2007-04-25 |
| Find all providers in zip 93704 | ||||
| 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 |
|---|---|---|---|---|
| 1336752971 | Mauricio Rubio | Dentist | 5336 E Truman Ave, Fresno, CA 93725-0934 | 2020-08-24 |
| 1205458767 | Gene Park | Dentist | 1367 E Saint James Cir, Fresno, CA 93720-1417 | 2020-05-07 |
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1336793488 | Harry Gill | Dentist | 5492 N Palm Ave Ste A, Fresno, CA 93704-1960 | 2019-07-26 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1295209823 | Western Dental Services, Inc. | Dentist | 5776 N Blackstone Ave Ste 104, Fresno, CA 93710-5026 | 2019-01-16 |
| 1922570134 | Charles Keith Diddy | Dentist | 5637 N Palm Ave Apt B, Fresno, CA 93704-1829 | 2018-12-28 |
| 1659847549 | S Mavi,d.d.s., Incorporated | Dentist | 4007 N Marks Ave Ste 102, Fresno, CA 93722-4555 | 2018-10-17 |
| 1558875633 | Manbir Kaur Sandhu | Dentist | 605 S Shelly Ave, Fresno, CA 93727-6570 | 2017-11-28 |
| 1699285148 | Joann Alvine Levy | Dentist | 2179 E Olympic Ave, Fresno, CA 93730-5157 | 2017-10-10 |
| Find all providers in FRESNO | ||||
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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.