RINCON FAMILY DENTAL


Address: 55 Elaine Dr, Santa Rosa, CA 95409-4248
Phone: 7075237423

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 55 ELAINE DR
City SANTA ROSA
State CA
Zip Code 95409-4248

Providers in the same zip code

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 Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City SANTA ROSA
Zip Code 95409

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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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