DELIVERING SMILES INC. (NPI# 1104442995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104442995 |
| Entity Type | Organization |
| Organization Name | DELIVERING SMILES INC. |
| Practice Address |
202 W Riverridge Ave Fresno CA 93711-6958 |
| Mailing Address |
Po Box 27011 Fresno CA 93729-7011 |
| Practice Telephone | 5599602232 |
| Practice Fax Number | 5594314349 |
| Mailing Telephone | 5599602232 |
| Mailing Fax Number | 5594314349 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | MRS. RHODA GONZALES (OWNER) |
| Authorized Official Telephone | 5599602232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 125K00000X | Advanced Practice Dental Therapist | Dental Providers | ||
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1700021094 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DELIVERING SMILES INC. | 21 Oak Manor, Leicester, Ny 14481 |
| Street Address |
202 W RIVERRIDGE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93711-6958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700021094 | Rhoda Lisa Gonzales | Dental Hygienist | 202 W Riverridge Ave, Fresno, CA 93711-6958 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1760037063 | Armine Petrosyan | Nurse Practitioner | 427 W Beford Ave Suite 103, Fresno, CA 93711 | 2019-08-05 |
| 1912489360 | Shoua Nelson | Nurse Practitioner | 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 | 2018-09-02 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1407344138 | Aidan Mechem | Behavior Technician | 5140 N. Fruit Avene, Fresno, CA 93711 | 2018-04-27 |
| 1841798840 | Michael Ramos IIi | Behavior Technician | 1690 N Shaw Ave, 102, Fresno, CA 93711 | 2018-01-25 |
| 1962913467 | Dhara Devendrakumar Patel | Pharmacist | 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 | 2017-10-24 |
| 1588183636 | Bianca Arteaga | Counselor | 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 | 2017-09-10 |
| 1346763158 | Powell Pediatric Dentistry Ingram Partnership | Dentist | 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 | 2017-07-24 |
| 1982124202 | Justine Syera Balbas | Counselor | 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 | 2017-06-27 |
| Find all providers in zip 93711 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869605 | Ashley Marie Hazelton | Dental Hygienist | 7161 N Millbrook Ave, Fresno, CA 93720-3362 | 2020-10-20 |
| 1043638364 | Catherine Zendejas | Dental Hygienist | 5827 W Bluff Ave, Fresno, CA 93722-2291 | 2014-04-03 |
| 1366752545 | Raimey Dunham | Dental Hygienist | 2756 S. Elm Ave, Fresno, CA 93706-5435 | 2010-10-20 |
| 1700021094 | Rhoda Lisa Gonzales | Dental Hygienist | 202 W Riverridge Ave, Fresno, CA 93711-6958 | 2008-12-16 |
| 1992974430 | Crystal Dawn Gryte | Dental Hygienist | 5790 S Elm Ave, Fresno, CA 93706-5813 | 2008-02-28 |
| 1235359191 | Yolanda Rodriguez Andreatta | Dental Hygienist | 310 W Shaw, Fresno, CA 93704 | 2007-04-25 |
| 1568936078 | Valerie Vue | Dental Hygienist | 5657 E Kings Canyon Rd Ste 107, Fresno, CA 93727-4653 | 2019-01-17 |
| 1891269726 | Norma Teran | Dental Hygienist | 2745 W Shaw Ave Ste 103, Fresno, CA 93711-3315 | 2019-01-14 |
| 1861739443 | Tanya Velazquez | Dental Hygienist | 2735 N Blackstone Ave, Fresno, CA 93703-1705 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DELIVERING SMILES INC..
| 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.