Miller Skinner and Dastrup Dental Corporation of Atwater

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF ATWATER

Doing business as

Precision Family Dentistry of Atwater

Practice address

1095 N Winton Way
Atwater, CA 95301

Phone

(209) 358-5485

Fax

(209) 358-8446

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF ATWATERAs reported in NPPES

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

Authorized official

Name

Daniel Dastrup, D.D.S.NPI 1700292570

Title

Doctor/Owner

Phone

(480) 274-5325

Specialties & licenses 1

Addresses

Other names 1

• Precision Family Dentistry of Atwater Doing business as

Part of

Miller Skinner and Dastrup Dental Corporation of Atwater

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Reeve Dastrup, D.D.S

  • Dentist
  • Scottsdale, AZ
  • NPI 1700292570
  Authorized official Same address or phone
• William Gerald Oliver, DDS

  • General Practice Dentistry
  • Atwater, CA
  • NPI 1538246327
  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1568207470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 N WINTON WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "95301",
            "telephone_number": "209-358-5485",
            "fax_number": "209-358-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 N WINTON WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "95301",
            "telephone_number": "209-358-5485",
            "fax_number": "209-358-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF ATWATER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF ATWATER",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "DASTRUP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "480-274-5325",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Family Dentistry of Atwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merced Faculty Associates Medical Group Incorporated (MFA Atwater)
• Merced Uhsd
• Merced Union High School District
• Mercy Air Service, Inc.
• Alma Mesa
• Regan Miller
• Florina Mitchell
• Mjym LLC (Timeless Travels)
• Joyce Molag, PT
• Gabriela Molina

• General Practice Dentistry in Atwater, CA
• Providers in Atwater, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.