GARY EARL FISCUS


Address: 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209
Phone: 2094733990

GARY EARL FISCUS (NPI# 1881845790) 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) 1881845790
Entity Type Individual
Full Name GARY EARL FISCUS
Credential D.D.S.
Practice Address 4565 Quail Lakes Drive
Suite A-2
Stockton
CA 95209
Practice Telephone 2094733990
Practice Fax Number 2094731725
Mailing Telephone 2094733990
Mailing Fax Number 2094731725
Enumeration Date 2008-10-09
Last Update Date 2008-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 33011 CA Dental Providers

Office Location

Street Address 4565 QUAIL LAKES DRIVE
SUITE A-2
City STOCKTON
State CA
Zip Code 95209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104272954 William Luther Bennett Pharmacist 1131 Sunnyoak Way, Stockton, CA 95209 2016-05-11
1548686769 Roland Rillamas Lagpacan Pharmacist 3131 West Hammer Lane, Stockton, CA 95209 2014-03-12
1346599677 Luis Leyva Garcia Marriage & Family Therapist 1755 West Hammer Lane, Stockton, CA 95209 2012-08-31
1942506233 Donna Lynn Peterson Dentist 9409 Thornton Rd, Stockton, CA 95209 2011-02-03
1386969798 Miusotic Zaragoza Social Worker 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 2010-03-30
1497988844 Marissa Elizabeth Preciado Counselor 10147 River Falls Cir, Stockton, CA 95209 2009-09-02
1316190796 Sutter Gould Medical Foundation Clinic/Center 8011 Don Ave, Stockton, CA 95209 2008-10-29
1326225665 Shirley's Care Home Inc Intermediate Care Facility, Mentally Retarded 2330 Shropshire Dr, Stockton, CA 95209 2008-01-29
1134272727 Joanie Mc Culloch Homeopath 8807 Thornton Rd, Ste. P, Stockton, CA 95209 2007-01-19
1467412809 Jill Michelle Henderzahs-mason Physical Therapist 1716 W Hammer Lane, Stockton, CA 95209 2006-03-27
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467053660 Gurjot Sidhu Dds Dental Corporation Dentist 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 2020-11-04
1487216313 Western Dental Services, Inc. Dentist 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 2019-07-01
1801363825 Western Dental Services, Inc. Dentist 616 W Hammer Ln Ste B, Stockton, CA 95210-3749 2018-10-29
1336635101 Western Dental Services, Inc. Dentist 5756 Pacific Ave Ste 75, Stockton, CA 95207-5156 2018-07-05
1518469550 Uriel Badillo Centeno Dentist 1035 W Robinhood Dr Ste 200, Stockton, CA 95207-5621 2018-03-06
1063940856 James Rore Dds Inc Dentist 4255 Pacific Ave Ste 12, Stockton, CA 95207-7638 2017-05-24
1821547571 John T. Reed, Dds, Inc. Dentist 333 San Carlos Way Ste A, Stockton, CA 95207-2037 2016-09-22
1285180232 Sky Orion Martin Dentist 1310 E Swain Rd Ste 2, Stockton, CA 95210-3308 2016-08-30
1245683861 Diana Furukawa Dentist 5345 N El Dorado St Ste 2, Stockton, CA 95207-5848 2016-07-19
1669861431 Rajkamal Sohi Dentist 4053 E Morada Ln, Stockton, CA 95212-1608 2015-01-17
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Competitor

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City STOCKTON
Zip Code 95209

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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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