SUKUT DENTAL, INC. (NPI# 1093990251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093990251 |
| Entity Type | Organization |
| Organization Name | SUKUT DENTAL, INC. |
| Practice Address |
2900 Bristol St Suite C-102 Costa Mesa CA 92626-5981 |
| Practice Telephone | 7145406852 |
| Practice Fax Number | 7145408066 |
| Mailing Telephone | 7145406852 |
| Mailing Fax Number | 7145408066 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | DR. KARLY LYN SUKUT-NEPPL (PARTNER) |
| Authorized Official Telephone | 7145406852 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
23270 | CA | Dental Providers |
| Street Address |
2900 BRISTOL ST SUITE C-102 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417991498 | Burdetta Louise Honescko | Counselor | 2900 Bristol St, J101, Costa Mesa, CA 92626-5981 | 2006-06-16 |
| 1184244121 | James Marquez | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2020-04-20 |
| 1659841609 | Steve G Baker | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2018-12-03 |
| 1710452784 | We Care Path | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2018-10-05 |
| 1821522053 | Manabu Kuzu | Acupuncturist | 2900 Bristol St, G103, Costa Mesa, CA 92626-5981 | 2017-04-14 |
| 1366982878 | Stephen Stylianides | Chiropractor | 2900 Bristol St, Suite J104, Costa Mesa, CA 92626-5981 | 2017-03-02 |
| 1063964476 | Carol J Timmons | Clinic/Center | 2900 Bristol St, Bldg. J-206, Costa Mesa, CA 92626-5981 | 2016-11-02 |
| 1821449109 | Paige Meyer | Chiropractor | 2900 Bristol St, J108, Costa Mesa, CA 92626-5981 | 2016-06-28 |
| 1558712448 | The Body Lab Physical Therapy Inc. | Physical Therapist | 2900 Bristol St, J104, Costa Mesa, CA 92626-5981 | 2016-06-22 |
| 1518321439 | Lisa Ann Maurel | Marriage & Family Therapist | 2900 Bristol St, Suite C 208, Costa Mesa, CA 92626-5981 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| 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 |
|---|---|---|---|---|
| 1841705746 | Timothy Joseph Rolfes | Dentist | 1530 Baker St #j, Costa Mesa, CA 92626-3752 | 2017-12-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1255880928 | Karen Pingyao Yeh | Dentist | 1545 Baker St, Costa Mesa, CA 92626-3731 | 2016-09-22 |
| 1548642846 | De Leon Dentistry General & Cosmestic | Dentist | 1942 Harbor Blvd., Costa Mesa, CA 92627 | 2015-06-23 |
| 1689068884 | M. Zakhary Dds, Inc. | Dentist | 488 E 17th St, 101a, Costa Mesa, CA 92627-3250 | 2015-03-25 |
| 1467716035 | Julianne Shaw | Dentist | 1831 Orange Ave Ste D, Costa Mesa, CA 92627-2839 | 2012-06-28 |
| 1487913471 | Matt G. Farzin Dds, Inc | Dentist | 2969 Harbor Blvd., Costa Mesa, CA 92626 | 2012-05-10 |
| 1558631234 | Sandra Y Rodriguez | Dentist | 2700 Peterson Pl, Unit 49b, Costa Mesa, CA 92626-5300 | 2012-01-11 |
| 1932485299 | Annie Van Anh Nguyen | Dentist | 3105 Monroe Way, Costa Mesa, CA 92626-2826 | 2011-10-31 |
| 1730463662 | Douglas W Lim | Dentist | 728 West 19th St., Suite B, Costa Mesa, CA 92627-6148 | 2011-10-11 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.