| Synergy Dental Group | |
|
660 Third Street West Sonoma CA 95476 | |
| (707) 938-9066 | |
| (707) 938-9106 |
| Full Name | Synergy Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 660 Third Street West, Sonoma, California |
| Authorized Official Name and Position | Jen M Gold (MANAGER) |
| Authorized Official Contact | 7079389066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Dental Group 660 Third Street West Sonoma CA 95476 Ph: (707) 938-9066 | Synergy Dental Group 660 Third Street West Sonoma CA 95476 Ph: (707) 938-9066 |
| NPI Number | 1306099056 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 08/08/2019 |
| Medicare PECOS PAC ID | 5496936387 |
|---|---|
| Medicare Enrollment ID | O20110225000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306099056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41522 (California) | Primary |
Sonoma Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 548 3rd St W, Sonoma, CA 95476 Phone: 510-579-7529 | |
Bradd S. Yoshioka, A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 554 3rd St W, Sonoma, CA 95476 Phone: 707-996-3016 |