POURSHIRAZI & SAREH DENTAL CORP (NPI# 1053884924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053884924 |
| Entity Type | Organization |
| Organization Name | POURSHIRAZI & SAREH DENTAL CORP |
| Other Organization Name | ALL SMILE DENTAL GROUP OF DR. POURSHIRAZI |
| Practice Address |
2015 N Waterman Ave Ste B San Bernardino CA 92404-4810 |
| Mailing Address |
27192 Newport Rd Ste 2 Menifee CA 92584-7387 |
| Practice Telephone | 9517755536 |
| Mailing Telephone | 9516729457 |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | HOMAYOUN POURSHIRAZI (PRESIDENT) |
| Authorized Official Telephone | 9516729457 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| All Smile Center | Doing Business As Name - Organization |
| All Smile Dental Group of Dr. Pourshirazi | Doing Business As Name - Organization |
| Street Address |
2015 N WATERMAN AVE STE B |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295995454 | Melissa S Chun | Dentist | 2015 N Waterman Ave Ste B, San Bernardino, CA 92404-4810 | 2008-06-11 |
| 1598901928 | Melissa S. Chun, Dds, A Professional Dental Corporation | Dentist | 2015 N Waterman Ave Ste B, San Bernardino, CA 92404-4810 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457871758 | James R Pollard Dds Inc | Clinic/Center | 290 W. Orange Show Rd., Suite 105, San Bernardino, CA 92408 | 2017-06-27 |
| 1275946469 | Manlio F. Orozco Dds Inc. | Clinic/Center | 555 S Mount Vernon Ave Ste G, San Bernardino, CA 92410-2700 | 2014-06-05 |
| 1134358815 | Llu Faculty Dental Office | Clinic/Center | 159 W Hospitality Ln, San Bernardino, CA 92408-3346 | 2009-07-02 |
| 1386250215 | Dr. Luis G. Vargas A Dental Corporation | Clinic/Center | 965 S E St Ste N, San Bernardino, CA 92408-1940 | 2020-09-16 |
| 1912535071 | Hwang Dental Corporation | Clinic/Center | 1579 N D St, San Bernardino, CA 92405-4742 | 2020-04-01 |
| 1467085480 | Gg Lee, Dds, PC | Clinic/Center | 242 E Airport Dr Ste 100, San Bernardino, CA 92408-3408 | 2020-02-18 |
| 1114559424 | Brian C Kim Dds Inc | Clinic/Center | 222 N G St Ste 3, San Bernardino, CA 92410-3217 | 2020-02-05 |
| 1609390582 | Myron L Massey Dds Inc | Clinic/Center | 322 N H St, San Bernardino, CA 92410-3224 | 2017-08-01 |
| 1497132369 | Albert E Oh Dds Inc | Clinic/Center | 1579 N D St, San Bernardino, CA 92405-4742 | 2015-04-30 |
| 1447593330 | Zambrano & Alvarado Dds Inc | Clinic/Center | 695 W Highland Ave, San Bernardino, CA 92405-3812 | 2013-03-29 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
Please comment or provide details below to improve the information on POURSHIRAZI & SAREH DENTAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.