DR. SANJU P. JOSE (NPI# 1932516804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932516804 |
| Entity Type | Individual |
| Full Name | DR. SANJU P. JOSE |
| Credential | D.D.S., M.D.S. |
| Practice Address |
6395 Dobbin Rd Ste 208 Columbia MD 21045-4759 |
| Mailing Address |
300 Pine Valley Dr Imperial PA 15126-9332 |
| Practice Telephone | 4109971189 |
| Practice Fax Number | 4109925474 |
| Mailing Telephone | 4109134760 |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
16308 | MD | Dental Providers |
| Street Address |
6395 DOBBIN RD STE 208 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-4759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811126261 | Keyla Ivette Torres | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2009-07-07 |
| 1932733896 | Columbia Center for Implants & Periodontics | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2020-02-28 |
| 1982117404 | Lidia Askary | Dental Hygienist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376814723 | Nabil Beaini | Dentist | 201 W Broadway Ste 5a, Columbia, MO 65203-3842 | 2012-01-17 |
| 1811126261 | Keyla Ivette Torres | Dentist | 6395 Dobbin Rd Ste 208, Columbia, MD 21045-4759 | 2009-07-07 |
| 1578688230 | Stephen E Gossett | Dentist | 3000 Two Notch Rd., Small Smiles Dental Centers of Columbia, LLC, Columbia, SC 29204 | 2007-03-20 |
| 1518009026 | Donald William Hogan | Dentist | 7007 Brookfield Rd, Columbia, SC 29223-2212 | 2007-02-12 |
| 1609945674 | Russell Leon Harrison | Dentist | 33 E Broadway, Ste. 290, Columbia, MO 65203-4207 | 2006-11-06 |
| 1134211261 | William Cleveland James Jr. | Dentist | 2120 N Beltline Blvd, Columbia, SC 29204-3905 | 2006-09-28 |
| 1598856353 | South Carolina Periodontology Pa | Dentist | 2120 N Beltline Boulevard, Columbia, SC 29204-3905 | 2006-09-27 |
| 1700800497 | Sohee Kim Park | Dentist | 456 Clemson Rd, Columbia, SC 29229-7925 | 2006-07-26 |
| 1548282130 | Columbia Periodontal Assoicates, LLC | Dentist | 3527 Bush River Rd, Columbia, SC 29210-4805 | 2006-07-24 |
| 1427029511 | Gregg Walker Mckenzie | Dentist | 124 Alpine Cir., Columbia, SC 29223 | 2006-01-28 |
| Find all providers in COLUMBIA | ||||
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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.