DR.ROBERT E. JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION (NPI# 1922380781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922380781 |
| Entity Type | Organization |
| Organization Name | DR.ROBERT E. JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
2211 4th St Santa Rosa CA 95404-3210 |
| Practice Telephone | 7075751198 |
| Practice Fax Number | 7075750818 |
| Mailing Telephone | 7075751198 |
| Mailing Fax Number | 7075750818 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Authorized Official Name | DR. ROBERT E JARVIS II (OWNER/DOCTOR) |
| Authorized Official Telephone | 7075751198 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
CA29956 | CA | Dental Providers |
| Street Address |
2211 4TH ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275659336 | Robert Elton Jarvis II | Dentist | 2211 4th St, Santa Rosa, CA 95404-3210 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689990962 | Vicente Chavez | Dentist | 1111 Sonoma Ave Ste 220, Santa Rosa, CA 95405-4833 | 2010-04-12 |
| 1275659336 | Robert Elton Jarvis II | Dentist | 2211 4th St, Santa Rosa, CA 95404-3210 | 2007-03-21 |
| 1770626921 | Leonard Michael Tyko II | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95405-4818 | 2007-02-15 |
| 1336210095 | Peyman Hedayati | Dentist | 855 Fountain Grove Pkwy Ste 201, Santa Rosa, CA 95403-5736 | 2006-11-13 |
| 1942309877 | Paul J Tiernan | Dentist | 30 Doctors Park Dr, Santa Rosa, CA 95405-6615 | 2006-09-21 |
| 1285899211 | Christopher Sean Daniel | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95405-4802 | 2008-07-18 |
| 1609056878 | Jiries Peter Mogannam | Dentist | 1111 Sonoma Ave, Suite #220, Santa Rosa, CA 95405-4819 | 2007-11-05 |
| 1821281668 | Corsi Hoey Pearson Professional Corp. | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95407 | 2007-08-24 |
| 1447475363 | Michael F Hoey | Dentist | 1174 Montgomery Dr, Santa Rosa, CA 95405 | 2007-04-16 |
| 1427138684 | Paul V Sejud Dmd PC | Dentist | 1111 Sonoma Ave, #220, Santa Rosa, CA 95405 | 2006-10-16 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on DR.ROBERT E. JARVIS II, A CALIFORNIA PROFESSIONAL DENTAL CORPORATION.
| 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.