MANMEET KAUR BALA MOODY (NPI# 1942400353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942400353 |
| Entity Type | Individual |
| Full Name | MANMEET KAUR BALA MOODY |
| Credential | D.D.S |
| Practice Address |
2755 W Bluff Ave Fresno CA 93611-0392 |
| Mailing Address |
2755 W Bluff Ave Fresno CA 93711-0392 |
| Practice Telephone | 5593078287 |
| Mailing Telephone | 5593078287 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 55424 | CA | Dental Providers |
| Street Address |
2755 W BLUFF AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93611-0392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752971 | Mauricio Rubio | Dentist | 5336 E Truman Ave, Fresno, CA 93725-0934 | 2020-08-24 |
| 1205458767 | Gene Park | Dentist | 1367 E Saint James Cir, Fresno, CA 93720-1417 | 2020-05-07 |
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1336793488 | Harry Gill | Dentist | 5492 N Palm Ave Ste A, Fresno, CA 93704-1960 | 2019-07-26 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1295209823 | Western Dental Services, Inc. | Dentist | 5776 N Blackstone Ave Ste 104, Fresno, CA 93710-5026 | 2019-01-16 |
| 1922570134 | Charles Keith Diddy | Dentist | 5637 N Palm Ave Apt B, Fresno, CA 93704-1829 | 2018-12-28 |
| 1659847549 | S Mavi,d.d.s., Incorporated | Dentist | 4007 N Marks Ave Ste 102, Fresno, CA 93722-4555 | 2018-10-17 |
| 1558875633 | Manbir Kaur Sandhu | Dentist | 605 S Shelly Ave, Fresno, CA 93727-6570 | 2017-11-28 |
| 1699285148 | Joann Alvine Levy | Dentist | 2179 E Olympic Ave, Fresno, CA 93730-5157 | 2017-10-10 |
| Find all providers in FRESNO | ||||
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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.