WESTERN DENTAL SERVICES, INC. (NPI# 1083128870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083128870 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
1453 N Azusa Ave Ste F-4 Covina CA 91722-1201 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 6263302894 |
| Practice Fax Number | 6263335886 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145716445 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Authorized Official Name | MARIBEL ZAMORA (ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 7145713104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G90179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
1453 N AZUSA AVE STE F-4 |
| City | COVINA |
| State | CA |
| Zip Code | 91722-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909087 | Ahmed Ismail Elsherif | Dentist | 4550 N Lark Ellen Ave # 103-104, Covina, CA 91722-3147 | 2020-10-12 |
| 1982188207 | Rasha Dubuni | Dentist | 1453 N Azusa Ave, Covina, CA 91722-1201 | 2018-09-21 |
| 1982943007 | Walter Rong | Dentist | 546 W Badillo St, Suite A, Covina, CA 91722-3786 | 2013-02-08 |
| 1942579313 | Sylvia A Salem | Dentist | 650 S 1st Ave, Covina, CA 91723-3538 | 2011-12-14 |
| 1548540743 | Teresita Crisostomo Fernandez | Dentist | 1131 W San Bernardino Rd, Covina, CA 91722-4108 | 2011-08-19 |
| 1477791267 | Aaron Daniel Gudino | Dentist | 554 W Badillo St, Covina, CA 91722-3762 | 2009-02-02 |
| 1194902767 | Arminda Viviana Robles | Dentist | 505 W Verness St, Covina, CA 91723-3340 | 2008-01-25 |
| 1952591869 | Patricia Y Lopez | Dentist | 675 S 2nd Ave, Covina, CA 91723-3518 | 2007-07-26 |
| 1851504112 | Mohamed Kays Dowaidari | Dentist | 19531 E Cienega Ave Apt 209, Covina, CA 91724-4015 | 2007-05-07 |
| 1578782868 | Jeannie Banez Garcia | Dentist | 617 N Azusa Ave, Covina, CA 91722-3504 | 2007-04-24 |
| Find all providers in COVINA | ||||
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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.