Pannu and Henne Dental Corp.
Great Smiles Dental · Dentist

Address: 3219 Mc Henry Ave, Suite E, Modesto, CA 95350
Phone: 2094098987

Pannu and Henne Dental Corp. (NPI# 1053820522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053820522
Entity Type Organization
Other Organization Name GREAT SMILES DENTAL
Practice Address 3219 Mc Henry Ave, Suite E
CA 95350
Practice Telephone 2094098987
Practice Fax Number 2093224749
Mailing Address 3219 Mc Henry Ave, Suite E
CA 95350
Mailing Telephone 2094098987
Mailing Fax Number 2093224749
Authorized Official Name Dr. Dalvir S Pannu (OWNER & PARTNER DENTIST)
Authorized Official Telephone 4088261144
Authorized Official Credential DDS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2017-09-27
Last Update Date 2017-09-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Great Smiles Dental Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306310933 Western Dental Services, Inc. Dentist 2605 Coffee Rd Ste 200, Modesto, CA 95355-2064 2019-01-16
1205320223 Western Dental Services, Inc. Dentist 2900 Standiford Ave Ste 2, Modesto, CA 95350-6575 2018-06-22
1215438130 Lopez Dental Corporation Dentist 3601 Pelandale Ave Ste D-1, Modesto, CA 95356-9808 2018-02-26
1013457118 Kaur and Borrero Dds Dental Corp Dentist 1801 Tully Rd Ste A1, Modesto, CA 95350-2937 2017-03-08
1821461104 Michael Lopez Dental Corporation Dentist 2103 Mchenry Avenue, Suite C, Modesto, CA 95350 2015-11-09
1760899884 David Merrill Paxman Dentist 400 E Orangeburg Ave Ste 4, Modesto, CA 95350-5365 2014-07-21
1083021323 Maninder Kaur Dhillon Dentist 1912 Standiford Ave Ste 1, Modesto, CA 95350-6507 2014-07-18
1043621618 Nicholas Poblete Dentist 1316 Coffee Rd., Bldg. C, Modesto, CA 95355 2014-05-16
1174869796 D Park Dds Inc Dentist 1130 Coffee Rd Ste 1a, Modesto, CA 95355-4228 2012-12-31
1346520046 Christina Nicole Lee Zertuche Dentist 3340 Tully Rd Ste D3, Modesto, CA 95350 2011-08-25
Find all providers in MODESTO

Office Location

Street Address 3219 MC HENRY AVE, SUITE E
State CA
Zip Code 95350

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
1821461104 Michael Lopez Dental Corporation Dentist 2103 Mchenry Avenue, Suite C, Modesto, CA 95350 2015-11-09
1215329487 Momani Dds Inc Clinic/Center 3025 Mchenry Ave Ste N, Modesto, CA 95350 2015-02-25
1417371014 Quynh-chi Nguyen Registered Nurse 820 Scenic Drive, Modesto, CA 95350 2014-02-18
Find all providers in zip 95350


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Zip Code 95350

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Dataset Information

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.

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