DR. RICHARD STEPHEN JENDERSECK D.D.S,
NPI 1881812766
Dentist - Periodontics in Santa Rosa, CA

Active since April 23, 2007
1416 TOWNVIEW LN, SANTA ROSA, CA 95405(707) 578-3010(707) 578-0343 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Dentist
  • Periodontics

About RICHARD JENDERSECK

This page provides the complete NPI Profile along with additional information for Richard Jenderseck, a provider established in Santa Rosa, California with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1881812766 assigned on April 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 30223 (CA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1881812766 Verify this NPI
Provider Name
DR. RICHARD STEPHEN JENDERSECK D.D.S,
Gender
Male
Entity Type
Individual
Location Address
1416 TOWNVIEW LN SANTA ROSA, CA 95405
Location Phone
(707) 578-3010
Location Fax
(707) 578-0343
Mailing Address
1416 TOWNVIEW LN SANTA ROSA, CA 95405
Mailing Phone
(707) 578-3010
Mailing Fax
(707) 578-0343
Is Sole Proprietor?
Yes
Enumeration Date
04-23-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Richard Jenderseck is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
30223
License State
CA
Taxonomy Description
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.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405
Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405
Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405
Dentist (Periodontics)
1416 TOWNVIEW LN
SANTA ROSA, CA 95405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881812766, enumerated as an "individual" on April 23, 2007.

The provider is located at 1416 TOWNVIEW LN SANTA ROSA, CA 95405 and the phone number is (707) 578-3010.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.