| Sharon Thao Vi Tu, DMD | |
|
12150 New York Ranch Rd, Jackson, CA 95642-9407 | |
| (209) 257-2460 | |
| Not Available |
| Full Name | Sharon Thao Vi Tu |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 12150 New York Ranch Rd, Jackson, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013806900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 111736 (California) | Primary |
| Entity Name | M a C T Health Board Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20241011001898 |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon Thao Vi Tu, DMD 12150 New York Ranch Rd, Jackson, CA 95642-9407 Ph: Not Available | Sharon Thao Vi Tu, DMD 12150 New York Ranch Rd, Jackson, CA 95642-9407 Ph: (209) 257-2460 |
Dr. Leon Roda Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 French Bar Rd, Suite 101, Jackson, CA 95642 Phone: 209-223-2712 Fax: 209-223-2719 |
Ming-jye Yang, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 213-999-3019 |
Ronney Mihran Ask, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 French Bar Rd Ste 101, Jackson, CA 95642 Phone: 209-223-2712 Fax: 209-223-2719 |
Dr. Nina Tecson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2460 Fax: 209-257-2464 |
Dr. Edward Montalbo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11310 Prospect Dr Ste 30, Jackson, CA 95642 Phone: 209-267-9300 Fax: 209-267-9309 |
Mr. Stanley M Ordonez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 645 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-4434 Fax: 209-223-5857 |
Dr. Romeo Dipasupil, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2460 Fax: 209-257-2464 |