Dr Mary Jean Shimane, DMD | |
20099 Redwood Rd, Castro Valley, CA 94546-4326 | |
(510) 881-1611 | |
Not Available |
Full Name | Dr Mary Jean Shimane |
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Gender | Female |
Speciality | Dentist |
Location | 20099 Redwood Rd, Castro Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851848196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 46564 (California) | Primary |
Entity Name | The Davis Street Community Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
Mailing Address | Practice Location Address |
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Dr Mary Jean Shimane, DMD 20099 Redwood Rd, Castro Valley, CA 94546-4326 Ph: (510) 881-1611 | Dr Mary Jean Shimane, DMD 20099 Redwood Rd, Castro Valley, CA 94546-4326 Ph: (510) 881-1611 |
Dr. Patricia Lynn Westerhout, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20212 Redwood Rd, Suite 101, Castro Valley, CA 94546 Phone: 510-886-6416 Fax: 510-886-4827 | |
Dr. Victor Kvikstad, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3609 Jamison Way, Castro Valley, CA 94546 Phone: 510-886-3888 Fax: 510-881-0600 | |
Lawrence Wong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 19845 Lake Chabot Rd Suite 210, Castro Valley, CA 94546 Phone: 510-581-7788 Fax: 510-581-6872 | |
Dr. Jeffrey M Erickson, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 20265 Lake Chabot Rd, Castro Valley, CA 94546 Phone: 510-881-8010 Fax: 510-538-0120 | |
Dr. David Thomas Fosdahl, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20600 Lake Chabot Rd, Suite 101, Castro Valley, CA 94546 Phone: 510-582-8399 Fax: 510-582-3564 | |
Karolina Bartnicki, Dentist Medicare: Not Enrolled in Medicare Practice Location: 20406 Redwood Rd, Castro Valley, CA 94546 Phone: 510-582-7919 | |
Dr. Vijay Munagala, DDS, MPH Dentist Medicare: Medicare Enrolled Practice Location: 20212 Redwood Rd Ste 101, Castro Valley, CA 94546 Phone: 510-886-6416 Fax: 510-886-4827 |