DR. ABRAHAM JORDAN PRIESTLEY (NPI# 1962797217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962797217 |
| Entity Type | Individual |
| Full Name | DR. ABRAHAM JORDAN PRIESTLEY |
| Other Name | DR. A JORDAN PRIESTLEY |
| Credential | DDS |
| Practice Address |
11961 Heritage Oak Pl Auburn CA 95603-2461 |
| Practice Telephone | 5038056225 |
| Mailing Telephone | 5038056225 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
100101 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
29673 | TX | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
1001035 | WI | Dental Providers |
| Street Address |
11961 HERITAGE OAK PL |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760683577 | David Mark Seman | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2007-05-30 |
| 1659801470 | Paolo A. Poidmore and Brian C. Crawford, A Dental Corporation | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790295632 | S. Jang Dds Incorporated | Dentist | 500 Auburn Folsom Rd Ste 330b, Auburn, CA 95603-5645 | 2017-10-05 |
| 1497933253 | East Alabama Pediatric Dentistry & Orthodontics | Dentist | 742 N Dean Rd, Auburn, AL 36830-4300 | 2008-02-04 |
| 1063618528 | Auburn Pediatric Dentistry | Dentist | 841 North Dean Road, Auburn, AL 36830 | 2007-06-22 |
| 1760683577 | David Mark Seman | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2007-05-30 |
| 1538225933 | Tavallaei, D.m.d., Corporation | Dentist | 500 Auburn Folsom Rd, Suite330, Auburn, CA 95603 | 2006-12-29 |
| 1528148236 | Charles Rew Greenleaf Sr. | Dentist | 841 North Dean Rd., Auburn, AL 36830 | 2006-10-17 |
| 1659801470 | Paolo A. Poidmore and Brian C. Crawford, A Dental Corporation | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2017-06-14 |
| 1023408721 | S.y. Jang Dds Corporatiom | Dentist | 500 Auburn Folsom Rd, # 330, Auburn, CA 95603-5645 | 2015-02-02 |
| 1144556127 | J. Lothyan, D.d.s., P.l.l.c. | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-10-26 |
| 1942533351 | Kent Nuttall Dmd Ps | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-09-16 |
| Find all providers in AUBURN | ||||
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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.