MS. CONNIE L AUSTIN


Address: 333 Laws Ave, Ukiah, CA 95482-6540
Phone: 7074634556

MS. CONNIE L AUSTIN (NPI# 1821520487) 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) 1821520487
Entity Type Individual
Full Name MS. CONNIE L AUSTIN
Credential DDS
Practice Address 333 Laws Ave
Ukiah
CA 95482-6540
Practice Telephone 7074634556
Mailing Telephone 7074634556
Mailing Fax Number 6019846039
Enumeration Date 2017-03-31
Last Update Date 2019-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
102740 CA Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
102740 CA Dental Providers
N 124Q00000X Dental Hygienist 11165 TX Dental Providers

Other Providers CONNIE AUSTIN

NPI Name Taxonomy Address Enumeration
1235458449 Connie Austin Counselor 2821 Klempner Way, Louisville, KY 40205-4203 2010-05-27

Office Location

Street Address 333 LAWS AVE
City UKIAH
State CA
Zip Code 95482-6540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619970068 Jorge Anibal Allende Jr. Internal Medicine 333 Laws Ave, Ukiah, CA 95482-6540 2005-05-31
1386262921 Juliann Elizabeth Joseph Advanced Practice Midwife 333 Laws Ave, Ukiah, CA 95482-6540 2020-07-09
1164077038 Neha Sharma Dentist 333 Laws Ave, Ukiah, CA 95482-6540 2019-08-07
1053890905 Liliane Robison Nurse Practitioner 333 Laws Ave, Ukiah, CA 95482-6540 2018-08-11
1508356221 Stuart Christian Mauger Dentist 333 Laws Ave, Ukiah, CA 95482-6540 2018-05-17
1831689025 Kathryn Marie Manchester Registered Nurse 333 Laws Ave, Ukiah, CA 95482 2018-05-14
1457855942 Phuc Cong Tran Dentist 333 Laws Ave, Ukiah, CA 95482 2018-03-20
1730600859 Yesica Jaimes Mendoza Health Educator 333 Laws Ave, Ukiah, CA 95482-6540 2017-06-28
1629503727 Terese O'connell Dietitian, Registered 333 Laws Ave, Ukiah, CA 95482-6540 2017-04-26
1306397674 Rebecca Jean Johnson Advanced Practice Midwife 333 Laws Ave, Ukiah, CA 95482-6540 2016-10-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932726726 Gloria Gonzalez Campise Midwife 205 W. Clay Street, Ukiah, CA 95482 2020-06-29
1083255095 Mendocino Care Network Internal Medicine 1080 N State St, Ukiah, CA 95482 2019-10-01
1801383153 Costco Wholesale Corporation Pharmacy 1275 Airport Park Blvd., Ukiah, CA 95482 2018-04-21
1922528256 Ian David Winter Case Manager/Care Coordinator 1120 S. Dora St, Ukiah, CA 95482 2017-06-27
1568917938 Rebecca Ann Dragomani Nurse Practitioner 260 Hospital Dr Ste 101, Ukiah, CA 95482 2016-08-16
1811362536 Manzanita Services, Inc. Community/Behavioral Health 410 W. Jones St., Ukiah, CA 95482 2015-12-07
1689061061 Pamela Mathias Counselor 367 East Gobbi Street, Suite E, Ukiah, CA 95482 2015-04-23
1275927030 Jack David Segel Counselor 564 Dora St., Ste.d, Ukiah, CA 95482 2015-03-19
1689070211 Mendocino County Youth Project Clinic/Center 347 Plum St, #b, Ukiah, CA 95482 2014-11-10
1346649951 Ae Ran Ku Dentist 1096 South Dora Street, Ukiah, CA 95482 2014-08-19
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Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336740216 Thomas Robert Matthew Simpson Dentist 1387 Kirsten Ct, Red Bluff, CA 96080-4905 2020-11-05
1629683339 Jisoo Choe Dentist 232 E 2nd St Apt 451, Los Angeles, CA 90012-4098 2020-09-10
1831703479 Seville Dental Group, Inc. Dentist 7705 Seville Ave Ste A, Huntington Park, CA 90255-6570 2020-09-01
1114537842 Sepideh Rahmani Dentist 945 Orchard Creek Ln Ste 200, Lincoln, CA 95648-8473 2020-08-06
1861018160 Dentists On Wheels Dentist 2210 Gladstone Dr, Pittsburg, CA 94565-5101 2020-06-22
1558997148 S. Safarian Dmd Inc Dentist 955 Boardwalk Ste 304, San Marcos, CA 92078-2659 2020-03-16
1902455884 Aileen Arce Dds Incorporated Dentist 345 F St Ste 140, Chula Vista, CA 91910-2632 2019-09-04
1972156420 Jessica R Yang Dentist 6950 Santa Teresa Blvd Ste D, San Jose, CA 95119-1300 2019-07-23
1447811070 Roop Mayall Dentist 1215 Plumas St Ste 52, Yuba City, CA 95991-3492 2019-06-25
1699242933 Albert Young Dentist Naval Medical Ctr Bob Wilson Dr, San Diego, CA 92134-0001 2018-10-25
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Competitor

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City UKIAH
Zip Code 95482

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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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