Provider Demographics
NPI:1013173418
Name:SAMMANN, JON ESTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:ESTER
Last Name:SAMMANN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 MORAGA RD STE 9
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-5046
Mailing Address - Country:US
Mailing Address - Phone:925-284-4866
Mailing Address - Fax:925-284-2044
Practice Address - Street 1:895 MORAGA RD STE 9
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-5046
Practice Address - Country:US
Practice Address - Phone:925-284-4866
Practice Address - Fax:925-284-2044
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA221791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics