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