DENTISTAR COMPREHENSIVE DENTAL CARE, INC. (NPI# 1063874329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063874329 |
| Entity Type | Organization |
| Organization Name | DENTISTAR COMPREHENSIVE DENTAL CARE, INC. |
| Practice Address |
111 Deerwood Rd Suite 350 San Ramon CA 94583-4409 |
| Practice Telephone | 9257188970 |
| Practice Fax Number | 9257188971 |
| Mailing Telephone | 9257188970 |
| Mailing Fax Number | 9257188971 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | STEVE G KIM (PRESIDENT) |
| Authorized Official Telephone | 3109631316 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
58619 | CA | Dental Providers |
| Street Address |
111 DEERWOOD RD SUITE 350 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-4409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881799922 | Yshay Shlesinger | Internal Medicine | 111 Deerwood Rd, Suite 180, San Ramon, CA 94583-2197 | 2006-09-13 |
| 1245763671 | Ironhorse Physical Therapy and Pilates Inc. | Physical Therapist | 111 Deerwood Rd, 240, San Ramon, CA 94583-4409 | 2017-04-04 |
| 1124563119 | Cheri A Dang Dmd 2 Inc | Dentist | 111 Deerwood Rd, Suite 170, San Ramon, CA 94583-4409 | 2016-12-29 |
| 1407303357 | Cheri A Dang Dmd Inc | Dentist | 111 Deerwood Rd, Suite 170, San Ramon, CA 94583-4409 | 2016-09-08 |
| 1811397383 | Dentabliss Dental | Dentist | 111 Deerwood Rd, Suite 170, San Ramon, CA 94583-4409 | 2014-09-03 |
| 1821404179 | Arash Abolfazlian, Dds, Msd, Inc. | Dentist | 111 Deerwood Rd, Suite 390, San Ramon, CA 94583-4409 | 2014-07-08 |
| 1780011106 | Arash Abolfazlian | Dentist | 111 Deerwood Rd, San Ramon, CA 94583-4409 | 2013-09-30 |
| 1962757351 | Robin Yeganeh | Psychologist | 111 Deerwood Rd, Suite 395, San Ramon, CA 94583-4409 | 2012-07-20 |
| 1326322256 | Ivan P. Hwang, M.d., Inc | Ophthalmology | 111 Deerwood Rd, Suite 300, San Ramon, CA 94583-4409 | 2011-10-11 |
| 1013210426 | Steve G Kim | Dentist | 111 Deerwood Rd, Suite 350, San Ramon, CA 94583-4409 | 2010-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922651801 | James Ichiuji | Dentist | 9260 Alcosta Blvd Ste D30, San Ramon, CA 94583-4100 | 2019-07-19 |
| 1518432087 | G Kaur Sekhon, Inc | Dentist | 9130 Alcosta Blvd Ste D, San Ramon, CA 94583-3847 | 2018-10-10 |
| 1598277550 | S. Jang Dds Incorporated | Dentist | 9130 Alcosta Blvd Ste A2, San Ramon, CA 94583-3849 | 2017-10-31 |
| 1598017741 | Christopher Peter Rodriguez | Dentist | 2410 San Ramon Valley Blvd Ste 148, San Ramon, CA 94583-1672 | 2012-10-12 |
| 1194095091 | Jorge Padilla | Dentist | 118 Minerva Way, San Ramon, CA 94583-5084 | 2012-01-09 |
| 1861773160 | Seneca Mariano | Dentist | 2417 Promontory Cir, San Ramon, CA 94583-1254 | 2011-08-31 |
| 1629205950 | Karen B Wilson | Dentist | 246 Canyon Lakes Pl, 246 Canyon Lakes Place, San Ramon, CA 94582-4917 | 2009-06-12 |
| 1639320963 | Nahal Erfan Milani | Dentist | 2246 Dewberry Dr, San Ramon, CA 94582-5030 | 2008-10-06 |
| 1497903264 | Dr Mahmoud H Ashrafi D.m.d. M.s | Dentist | 1501 Bollinger Canyon Road, #b, San Ramon, CA 94541 | 2008-09-04 |
| 1154506343 | Scott David Fong | Dentist | 2435 San Ramon Valley Blvd, #1a, San Ramon, CA 94583-5380 | 2008-01-07 |
| Find all providers in SAN RAMON | ||||
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| 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.