Mr Kiyoshi Fukuda, DDS - Dentist in Santa Rosa, CA

Mr Kiyoshi Fukuda, DDS is a Dentist based in Santa Rosa, California. Mr Kiyoshi Fukuda is licensed to practice in California (license number 20861) and his current practice location is 1154 Montgomery Dr Ste 2, Santa Rosa, California. He can be reached at his office (for appointments etc.) via phone at (707) 579-4600.

NPI number for Mr Kiyoshi Fukuda is 1306921804 and his current mailing address is 1154 Montgomery Dr Ste 2, Santa Rosa, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306921804.

Contact Information

Mr Kiyoshi Fukuda, DDS
1154 Montgomery Dr Ste 2,
Santa Rosa, CA 95405
(707) 579-4600
Not Available



Healthcare Provider's Profile

Full NameMr Kiyoshi Fukuda
GenderMale
SpecialityDentist
Location1154 Montgomery Dr Ste 2, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306921804
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Kiyoshi Fukuda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306921804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 20861 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kiyoshi Fukuda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kiyoshi Fukuda, DDS
1154 Montgomery Dr Ste 2,
Santa Rosa, CA 95405

Ph: (707) 579-4600
Mr Kiyoshi Fukuda, DDS
1154 Montgomery Dr Ste 2,
Santa Rosa, CA 95405

Ph: (707) 579-4600

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Dentist in Santa Rosa, CA

Mrs. Edita Vasiliauskas, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2448 Guerneville Rd, Santa Rosa, CA 95403
Phone: 707-579-2808    
Dr. Simone Winkler Downs, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1206 Farmers Lane, Santa Rosa, CA 95405
Phone: 707-575-4450    Fax: 415-789-1252
Paul James Steigerwald, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 868 2nd St, Santa Rosa, CA 95404
Phone: 707-525-1228    Fax: 707-525-1137
Dr. Ranolph Duane Rush, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403
Phone: 707-545-4104    Fax: 707-545-9668
Dr. Christopher Chhoum Chow, DDS, MD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1460 Farmers Ln, Santa Rosa, CA 95405
Phone: 707-566-7300    Fax: 707-566-7400
Dr. Brian William Payne, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 36 Doctors Park Dr, Santa Rosa, CA 95405
Phone: 707-546-5234    Fax: 707-546-3928
Dr. Hiko Ruo, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 95 Montgomery Dr, Suite 212, Santa Rosa, CA 95404
Phone: 707-528-3412    Fax: 707-528-1058

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