Hubenette Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

41522 Issued in CA

Legal business name

HUBENETTE DENTAL CORPORATION

Practice address

660 Third Street West
Sonoma, CA 95476

Phone

(707) 938-9066

Fax

(707) 938-9106

NPI assigned

Oct 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jen M Gold

Title

Manager

Phone

(707) 938-9066

Specialties & licenses 1

Addresses

Other names 1

• Synergy Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Quan Hubenette, D.D.S.

  • General Practice Dentistry
  • Sonoma, CA
  • NPI 1508088477
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1306099056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 THIRD STREET WEST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476",
            "telephone_number": "707-938-9066",
            "fax_number": "707-938-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 THIRD STREET WEST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476",
            "telephone_number": "707-938-9066",
            "fax_number": "707-938-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBENETTE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "GOLD",
        "authorized_official_first_name": "JEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-938-9066"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Horvath, D.C.
• Lynne W Hsia, DDS
• Lawrence M Huan, MD
• Damaris Huang
• Jared Keith Hubbell, M.D.
• Kimberly Quan Hubenette, D.D.S.
• Amy Starlite Huddle, LCSW
• Karah Rachia Hudman
• Eric Joseph Hummel
• David N Humphrey

• Dentist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.