ARDALAN DENTAL GROUP CORP (NPI# 1063974244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063974244 |
| Entity Type | Organization |
| Organization Name | ARDALAN DENTAL GROUP CORP |
| Practice Address |
250 W Lincoln Ave Anaheim CA 92805-2903 |
| Practice Telephone | 7143352026 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | DR. MARYAM WAHEED (DENTIST) |
| Authorized Official Telephone | 5168400409 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
250 W LINCOLN AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| 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 |
|---|---|---|---|---|
| 1558984138 | Chi Kieu Nguyen | Dentist | 1000 S Anaheim Blvd Ste 103, Anaheim, CA 92805-5802 | 2020-05-18 |
| 1609433978 | Victor R. Camones Dds Inc | Dentist | 2785 W Ball Rd, Anaheim, CA 92804-5029 | 2019-05-22 |
| 1962962811 | Kwon Dental Practice Anaheim, Inc | Dentist | 10500 Magnolia Ave Ste A1, Anaheim, CA 92804-8805 | 2019-03-25 |
| 1639657596 | Monique Sison | Dentist | 2500 W Lincoln Ave Ste 2, Anaheim, CA 92801-6421 | 2018-08-02 |
| 1639657877 | Christina Chi | Dentist | 5731 E Santa Ana Canyon Rd Ste A, Anaheim, CA 92807-3234 | 2018-07-31 |
| 1558867473 | Ellie Parajon-aflatoon | Dentist | 10500 Magnolia Ave Ste A1a1, Anaheim, CA 92804-5817 | 2018-03-30 |
| 1144736125 | Jun Cheong Dds, Incorporation | Dentist | 1007 W La Palma Ave Ste 3, Anaheim, CA 92801-3620 | 2017-12-28 |
| 1477088581 | Miguel Aramburu | Dentist | 2601 W Ball Rd Ste 101, Anaheim, CA 92804-8016 | 2017-04-26 |
| 1568819613 | V.mai Dds Inc | Dentist | 922 S Euclid St, Anaheim, CA 92802-1523 | 2016-05-18 |
| 1841655628 | Maria H Lima & Raheleh R Pourtemour Dds, Inc | Dentist | 1098 N State College Blvd Ste A, Anaheim, CA 92806-2701 | 2015-12-22 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on ARDALAN DENTAL GROUP 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.