G.C. Dorostkar, DDS,PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

G.C. DOROSTKAR, DDS,PC

Practice address

650 E Blithedale Ave
Suite C
Mill Valley, CA 94941-1478

Phone

(415) 461-0414

NPI assigned

Dec 19, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Coley

Title

Executive Manager

Phone

(415) 461-0414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1881138303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E BLITHEDALE AVE",
            "address_2": "SUITE C",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411478",
            "telephone_number": "415-461-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E BLITHEDALE AVE",
            "address_2": "SUITE C",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411478",
            "telephone_number": "415-461-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.C. DOROSTKAR, DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "COLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "415-461-0414",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald C. Freedman, M.D.
• Conde C Freeman, LAC
• Freund Chiropractic Corporation (Intrinsic Health Chiropractic)
• Lois Friedlander, MA, MFT, CGP
• Ruth Friedrichsdorf, M.D.
• Ginger Lynn Gakunga, APN
• Bronni Galin, M.F.C.
• Sarah Deanna Garayalde, DO
• Gabriela Garcia-Rojas, D.D.S.
• John Garcia, MD

• Pediatric Dentistry in Mill Valley, CA
• Providers in Mill Valley, 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 19, 2016; 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.