| Dr Jeremy James Haines, DDS, MS | |
|
19372 Highridge Way, Trabuco Canyon, CA 92679-1628 | |
| (801) 735-7461 | |
| Not Available |
| Full Name | Dr Jeremy James Haines |
|---|---|
| Gender | Male |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 19372 Highridge Way, Trabuco Canyon, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811444201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 100553 (California) | Primary |
| Entity Name | Kodiak Area Native Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679514236 PECOS PAC ID: 8426959297 Enrollment ID: O20041004000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy James Haines, DDS, MS 19372 Highridge Way, Trabuco Canyon, CA 92679-1628 Ph: () - | Dr Jeremy James Haines, DDS, MS 19372 Highridge Way, Trabuco Canyon, CA 92679-1628 Ph: (801) 735-7461 |
Dr. Howard M Nakamura, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21702 Plano Trabuco Rd, Suite A, Trabuco Canyon, CA 92679 Phone: 949-858-4626 Fax: 949-858-2542 | |
Dr. David Shelby Levitt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8 Beaconsfield, Trabuco Canyon, CA 92679 Phone: 949-306-6568 | |
Mrs. Ada Gruita, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15 Saint Pierre, Trabuco Canyon, CA 92679 Phone: 949-525-8238 | |
Casey Vidovich, Dentist Medicare: Medicare Enrolled Practice Location: 30575 Trabuco Canyon Rd, Suite 106, Trabuco Canyon, CA 92679 Phone: 949-858-5147 | |
Shebli Mehrazarin, DDS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 22 Club Vis, Trabuco Canyon, CA 92679 Phone: 131-099-7089 |