Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOMER GARY KETCHERSIDE, D.D.S.,M.S.
Active Sole ProprietorHOMER GARY KETCHERSIDE, D.D.S.,M.S. is a Orthodontics healthcare provider located in CORONA, California. NPI 1043570658 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · CORONA, CA
Registration Details
- NPI Number
- 1043570658
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2012 (14.276611836806 yrs)
- Last Updated
- Jul 22, 2013
- License
-
28872 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
720 MAGNOLIA AVESUITE A1CORONA, CA, 928793119Browse CA providers · Browse ZIP 92879
- Phone
- 9517373800
- Fax
- 9517373937
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in CORONA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN K PEARSON | DDS | 1033117965 |
| DR. GARRETT KAWATA | D.D.S. INC | 1235150962 |
| TERRI LYNN ALFRED NEUFELD | D.D.S., M.S. | 1437285210 |
| DR. BRANDON TUAN HOANG | DMD | 1083804843 |
| DR. STEPHEN CHUNG KIM | DDS | 1881832806 |
| DR. MOJAN MIRNIA | DDS, MSD | 1972122778 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.