GALLATIN DENTAL GROUP (NPI# 1093861882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093861882 |
| Entity Type | Organization |
| Organization Name | GALLATIN DENTAL GROUP |
| Practice Address |
10805 Paramount Blvd Suite B Downey CA 90241 |
| Practice Telephone | 5628691686 |
| Practice Fax Number | 5628611672 |
| Mailing Telephone | 5628691686 |
| Mailing Fax Number | 5628611672 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | DR. STEVE ARTHUR AIVAZIAN (SECRETARY) |
| Authorized Official Telephone | 5628691686 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
42015 | CA | Dental Providers |
| N | 122300000X | Dentist | 47500 | CA | Dental Providers |
| Y | 122300000X | Dentist | 41887 | CA | Dental Providers |
| Street Address |
10805 PARAMOUNT BLVD SUITE B |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528442571 | Bekeredjian and Aivazian Dental Corp., A Professional Corporation | Dentist | 10805 Paramount Blvd, Suite B, Downey, CA 90241-3308 | 2015-07-18 |
| 1528105079 | Michael Shane Vert | Dentist | 10805 Paramount Blvd, Downey, CA 90241-3308 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| 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 |
|---|---|---|---|---|
| 1619528064 | Pessah Dental Corporation | Dentist | 12214 Lakewood Blvd Ste 102, Downey, CA 90242-2663 | 2019-09-26 |
| 1659927093 | Merna Ibrahim | Dentist | 10230 Horley Ave, Downey, CA 90241-2161 | 2019-08-12 |
| 1063985158 | Flor Susana Nunez | Dentist | 11904 Bellflower Blvd Apt B, Downey, CA 90242-2838 | 2019-01-10 |
| 1417492448 | Michelle Han | Dentist | 8516 Boyson St, Downey, CA 90242-3638 | 2016-12-29 |
| 1992174379 | Ariella Pessah Dental Corporation | Dentist | 8998 Apollo Way, Downey, CA 90242 | 2015-09-16 |
| 1720470735 | Charles Stucken D.d.s. Professional Dental Corporation | Dentist | 8847 Imperial Hwy Ste C2, Downey, CA 90242-3958 | 2015-02-27 |
| 1003240680 | Pegah Naji | Dentist | 8843 Rosecrans Ave Ste A, Downey, CA 90242-5286 | 2013-08-30 |
| 1073867503 | Yvonne Marie Rodriguez | Dentist | 10556 Paramount Blvd, Downey, CA 90241-2405 | 2012-11-06 |
| 1952611089 | Jiwon Kim | Dentist | 10720 Lakewood Blvd Apt 107, Downey, CA 90241-3562 | 2010-10-07 |
| 1366757999 | Gerardo Mercado | Dentist | 10814 Old River School Rd, Downey, CA 90241-3247 | 2010-08-06 |
| Find all providers in DOWNEY | ||||
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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.