DR. EDWARD WILLIAM JERGE (NPI# 1891966008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891966008 |
| Entity Type | Individual |
| Full Name | DR. EDWARD WILLIAM JERGE |
| Other Name | DR. NED WILLIAM JERGE |
| Credential | DDS |
| Practice Address |
3762 Clairemont Dr San Diego CA 92117-5916 |
| Practice Telephone | 8582702760 |
| Mailing Telephone | 8582702760 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D024671 | CA | Dental Providers |
| Street Address |
3762 CLAIREMONT DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92117-5916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154685030 | A. Jayson Tengonciang, Dmd, Inc | Dentist | 3762 Clairemont Dr, San Diego, CA 92117-5916 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1568956050 | Lourdes C Villagran | Case Manager/Care Coordinator | 4474 Charger Blvd, San Diego, CA 92117 | 2018-06-18 |
| 1750893509 | Dzendzel Family Chiropractic | Chiropractor | 3650 Clairemont Drive, Ste 2, San Diego, CA 92117 | 2017-11-02 |
| 1205355401 | Alan Ford | Counselor | 4150 Ute Dr., San Diego, CA 92117 | 2017-09-19 |
| 1780101238 | Allison Dawn Heeney | Occupational Therapist | 3386 Hopi Place, San Diego, CA 92117 | 2017-08-25 |
| 1275074379 | Rachel Gabrielle Packer | Counselor | 5252 Balboa Ave Ste 801, San Diego, CA 92117 | 2017-03-09 |
| 1316482995 | Lisa Graff-marsh, Inc. | Social Worker | 4985 Park Rim Dr., San Diego, CA 92117 | 2017-01-05 |
| 1417408949 | Markos and Markos 1 Inc | Private Vehicle | 4495 Clairemont Mesa Blvd, San Diego, CA 92117 | 2016-10-19 |
| 1801341813 | Huynh and Habashi Dental Corporation | Dentist | 2995 Clairemont Dr, Suite A, San Diego, CA 92117 | 2016-08-19 |
| 1184076077 | Tammy Monck | Optometrist | 3952 Clairemont Mesa Blvd Ste I, San Diego, CA 92117 | 2016-07-05 |
| Find all providers in zip 92117 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245716950 | Erik Balinghasay | Dentist | 12750 Carmel Country Rd Ste 201, San Diego, CA 92130-2171 | 2018-07-16 |
| 1770010795 | Elenaz Sarshar | Dentist | 6750 Beadnell Way Unit 49, San Diego, CA 92117-5148 | 2017-05-22 |
| 1174973507 | Duc Huynh Nguyen | Dentist | 5830 Oberlin Dr Ste 103, San Diego, CA 92121-3753 | 2016-06-16 |
| 1184004517 | Sheena Howell Dmd, Inc | Dentist | 522 Thorn St, San Diego, CA 92103-5710 | 2015-06-01 |
| 1457774192 | Anthony Potente | Dentist | 4033 3rd Ave Ste 303, San Diego, CA 92103-2117 | 2014-01-31 |
| 1306156823 | Kelvin Chou | Dentist | 5783 Mission Center Rd Apt 307, San Diego, CA 92108-4918 | 2010-10-18 |
| 1285942532 | Sean Daniels | Dentist | 9750 Miramar Rd Ste 375, San Diego, CA 92126-7503 | 2010-09-21 |
| 1891950937 | William A Walker | Dentist | 2615 Clairemont Dr, San Diego, CA 92117-6634 | 2008-07-28 |
| 1750570354 | Eugene Charles Hanson | Dentist | 4065 3rd Ave Ste 300, San Diego, CA 92103-2184 | 2007-10-18 |
| 1225229339 | Peter Garvey Mayer | Dentist | 2655 Camino Del Rio N Ste 150, San Diego, CA 92108-1603 | 2007-08-05 |
| Find all providers in SAN DIEGO | ||||
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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.