RINCON FAMILY DENTAL (NPI# 1811335755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811335755 |
Entity Type | Organization |
Organization Name | RINCON FAMILY DENTAL |
Practice Address |
55 Elaine Dr Santa Rosa CA 95409-4248 |
Practice Telephone | 7075237423 |
Mailing Telephone | 7075237423 |
Enumeration Date | 2013-06-13 |
Last Update Date | 2013-06-13 |
Authorized Official Name | DR. GERRET W OSENDORF (OWNER/DENTIST) |
Authorized Official Telephone | 7075237423 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
Y | 1223G0001X |
Dentist Specialization: General Practice |
56052 | Dental Providers |
Street Address |
55 ELAINE DR |
City | SANTA ROSA |
State | CA |
Zip Code | 95409-4248 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
Find all providers in zip 95409 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194369942 | M.s. Salek Dds, A Dental Corporation | Dentist | 2448 Guerneville Rd Ste 1000, Santa Rosa, CA 95403-7226 | 2019-11-05 |
1346806791 | Scott C. Bonin D.d.s. A Professional Denal Corporation | Dentist | 1260 N Dutton Ave Ste 290, Santa Rosa, CA 95401-7159 | 2019-05-11 |
1285035527 | Jeffers Dentistry Partnership | Dentist | 1820 Sonoma Ave Ste 42, Santa Rosa, CA 95405-6617 | 2014-09-05 |
1447699517 | Natalia Camacho-worms | Dentist | 1300 N. Dutton Ave, Santa Rosa, CA 95401 | 2013-06-21 |
1205170065 | Yunfei Fan Dds, A Professional Corporation | Dentist | 1420 Guerneville Rd Ste 5, Santa Rosa, CA 95403-4124 | 2012-11-19 |
1811231947 | Tingjen Ji | Dentist | 170 Farmers Ln Ste 1, Santa Rosa, CA 95405-4750 | 2012-11-15 |
1114295854 | James Klim | Dentist | 2755 Mendocino Ave, Suite 204, Santa Rosa, CA 95403-2827 | 2011-12-08 |
1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
1700029303 | Richard Anderson Dds | Dentist | 90 Doctors Park Drive, Santa Rosa, CA 95405-9998 | 2009-04-13 |
1356506596 | Kenneth James Bauer | Dentist | 55 Mission Cir Ste 107, Santa Rosa, CA 95409-5372 | 2008-07-28 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95409 |
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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.