DR. TIMOTHY MARK PENTECOST (NPI# 1881815686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881815686 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY MARK PENTECOST |
| Credential | DDS |
| Practice Address |
2453 Buhne St Eureka CA 95501-3206 |
| Practice Telephone | 7074437069 |
| Practice Fax Number | 7074439803 |
| Mailing Telephone | 7074437069 |
| Mailing Fax Number | 7074439803 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
BP36106 | CA | Dental Providers |
| Street Address |
2453 BUHNE ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| 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 |
|---|---|---|---|---|
| 1720360209 | Jeffery Holland | Dentist | 2332 Harrison Ave Ste E, Eureka, CA 95501-3235 | 2011-09-12 |
| 1770895765 | John M. Carrels | Dentist | 708 G Ave, Eureka, SD 57437 | 2010-07-08 |
| 1720248537 | Ronald C Ruchong | Dentist | 604 Harris Street, Eureka, CA 95503-4448 | 2008-06-16 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| 1689885261 | Mohd Awwad,dds, Inc | Dentist | 3144 Broadway St, Suite C1, Eureka, CA 95501-3838 | 2007-05-24 |
| 1164643367 | Eric Daniels Dds | Dentist | 1275 Highway 93 North, Eureka, MT 59917-0718 | 2007-05-02 |
| 1558582379 | Troy L Baker Jr. | Dentist | 208 N Central Ave Ste A, Eureka, MO 63025-1824 | 2007-05-01 |
| 1851411367 | Premiere Maxillofacial Surgeons, Inc. | Dentist | 3132 Harrison Ave, Eureka, CA 95503-5638 | 2007-03-29 |
| 1336273309 | Felines Hornilla Tipton | Dentist | 805 Harris St, Eureka, CA 95503-4541 | 2007-03-14 |
| 1275664484 | Elloway & Wonenberg, D.d.s., A Professional Dental Corporation | Dentist | 1519 2nd St, Eureka, CA 95501-0701 | 2007-03-08 |
| Find all providers in EUREKA | ||||
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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.