DR. PAUL J TIERNAN (NPI# 1942309877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942309877 |
| Entity Type | Individual |
| Full Name | DR. PAUL J TIERNAN |
| Credential | DDS |
| Practice Address |
30 Doctors Park Dr Santa Rosa CA 95405-6615 |
| Practice Telephone | 7075464727 |
| Practice Fax Number | 7075463123 |
| Mailing Telephone | 7075464727 |
| Mailing Fax Number | 7075463123 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DA035787 | CA | Dental Providers |
| Street Address |
30 DOCTORS PARK DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
| 1922380781 | Dr.robert E. Jarvis II, A California Professional Dental Corporation | Dentist | 2211 4th St, Santa Rosa, CA 95404-3210 | 2011-09-16 |
| 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 | 95405 |
Please comment or provide details below to improve the information on DR. PAUL J TIERNAN.
| 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.