Dennis Paul Nutter DDS, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

28054 Issued in CA

Legal business name

DENNIS PAUL NUTTER DDS, INC

Practice address

3694 Hilborn Rd Ste 100
Fairfield, CA 94534-7994

Phone

(707) 422-5444

Fax

(707) 422-1613

NPI assigned

Dec 28, 2015

Organization subpart

No

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

Authorized official

Name

Dennis Paul Nutter, DDS

Title

Owner

Phone

(707) 422-5444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1386009884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347994",
            "telephone_number": "707-422-5444",
            "fax_number": "707-422-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347994",
            "telephone_number": "707-422-5444",
            "fax_number": "707-422-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS PAUL NUTTER DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "NUTTER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-422-5444",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "28054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B28054",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primadona Demapendan
• Jessica Ann Demaria
• Marc Albert Dematteo, RADT I
• Philippe Denayer, PHARM.D.
• Donald Mitchell Denmark, MD, FAAFP
• David Craig Dennis, M.D.
• De'Sean Dennis
• Kalpana Deo
• Elizabeth Deol, LCSW
• Navneet Deol, DO

• Pediatric Dentistry in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.