Mary Elizabeth Jennings-Galdeano, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56195 Issued in CA

Practice address

1215 N. del Mar Ave
Fresno, CA 93728-1958

Phone

(559) 233-5625

Fax

(559) 233-6626

NPI assigned

Sep 14, 2007

Last updated

Dec 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B & B Management Inc.

  dba Tower Dental Care

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1306115381
  Authorized official Same address or phone

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1790971588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N DEL MAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281958",
            "telephone_number": "559-233-5625",
            "fax_number": "559-233-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N. DEL MAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281958",
            "telephone_number": "559-233-5625",
            "fax_number": "559-233-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS-GALDEANO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56195",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan James Jenkins
• Hollye E Jenkins
• Ricardo Tyrmaine Jenkins
• Tina Linette Jenkins I
• Jennifer Roy-Pogutter
• Andre Jennings
• Christopher Ivan Jennings
• Kennedy Jennings
• Kerrington Jennings
• Richard Ernest Jennings, DDS

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 Dec 12, 2011; 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.