REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION (NPI# 1083052054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083052054 |
| Entity Type | Organization |
| Organization Name | REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION |
| Other Organization Name | KIDS CARE DENTAL GROUP - ELK GROVE |
| Practice Address |
9565 Laguna Springs Dr Elk Grove CA 95758-7961 |
| Mailing Address |
8950 Cal Center Dr Building 1, Ste 363 Sacramento CA 95826-3259 |
| Practice Telephone | 9166837645 |
| Mailing Telephone | 9165701500 |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |
| Authorized Official Name | DEREK BOYES (COO) |
| Authorized Official Telephone | 9165701500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Care Dental Group - Elk Grove | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969481 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3210 Countryside Dr, Turlock, CA 95380-8426 | 2020-04-01 |
| 1417585647 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 1361 S Lower Sacramento Rd Ste 605, Lodi, CA 95242-9296 | 2020-04-01 |
| 1972137271 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 1310 E Bidwell St Ste 100, Folsom, CA 95630-3524 | 2020-02-25 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1093346827 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2221 Balfour Rd Ste D, Brentwood, CA 94513-4932 | 2020-01-30 |
| 1538790696 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3000 W Jack London Blvd Spc A-1, Livermore, CA 94551-7609 | 2020-01-28 |
| 1326678368 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3499 Brookside Rd Ste F, Stockton, CA 95219-1784 | 2020-01-17 |
| 1033750195 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5253 Prospect Rd Ste D-2, San Jose, CA 95129-5025 | 2019-09-30 |
| 1629627930 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5757 Pacific Ave Unit A-145, Stockton, CA 95207-5100 | 2019-09-09 |
| 1396123683 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Dentist | 1791 Oak Ave Ste C, Davis, CA 95616-1073 | 2015-05-07 |
| Street Address |
9565 LAGUNA SPRINGS DR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-7961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326166711 | Aaron P Reeves | Dentist | 9565 Laguna Springs Dr, Elk Grove, CA 95758-7961 | 2007-03-26 |
| 1023426426 | David Steinberg | Dentist | 9565 Laguna Springs Dr, Elk Grove, CA 95758-7961 | 2014-07-29 |
| 1174641211 | Aaron P Reeves, Dmd Dental Corp. | Dentist | 9565 Laguna Springs Dr, Elk Grove, CA 95758-7961 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750772828 | S. Jang Dds Incorporated | Dentist | 9184 E Stockton Blvd Ste B, Elk Grove, CA 95624-9510 | 2015-02-11 |
| 1407167943 | Scott Pyo | Dentist | 5010 Laguna Blvd, Elk Grove, CA 95758 | 2010-06-30 |
| 1922261882 | Tavallaei, D.m.d., Corporation | Dentist | 9585 Laguna Springs Dr, Suite 120, Elk Grove, CA 95758-7969 | 2008-07-09 |
| 1699778258 | Janice Rene Work | Dentist | 9045 Bruceville Rd, Ste 180, Elk Grove, CA 95758 | 2005-05-27 |
| 1831589530 | S.y. Jang Dds Corporatiom | Dentist | 9585 Laguna Springs Dr, # 120, Elk Grove, CA 95758-7969 | 2015-02-02 |
| 1386985208 | Janice R Work Dds /a Professional Dental Corporation | Dentist | 9045 Bruceville Rd, 180, Elk Grove, CA 95758-5948 | 2013-03-04 |
| 1891006128 | Winston Lin | Dentist | 9640 Bruceville Rd, 101, Elk Grove, CA 95757-5936 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION.
| 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.