DOMINGUEZ HILLS DENTAL GROUP (NPI# 1154722254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154722254 |
| Entity Type | Organization |
| Organization Name | DOMINGUEZ HILLS DENTAL GROUP |
| Practice Address |
20930 Bonita St Suite T Carson CA 90746-3680 |
| Practice Telephone | 3105151490 |
| Practice Fax Number | 3105150032 |
| Mailing Telephone | 3105151490 |
| Mailing Fax Number | 3105150032 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Authorized Official Name | DR. ANTHONY DUNCAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3105151490 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34086 | CA | Dental Providers |
| Street Address |
20930 BONITA ST SUITE T |
| City | CARSON |
| State | CA |
| Zip Code | 90746-3680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744884 | Tiburcio Paz Alberto | General Practice | 20930 Bonita St, Suite W, Carson, CA 90746-3683 | 2005-07-18 |
| 1821411968 | Lenise N. Yarber D.d.s, Professional Dental Corporation | Dentist | 20930 Bonita St, Suite Y, Carson, CA 90746-3680 | 2014-01-25 |
| 1316254659 | Cappie Baker | Dentist | 20930 Bonita St, Suite X, Carson, CA 90746-3680 | 2010-09-08 |
| 1609108950 | Sylvernus Ebiriekwe | Counselor | 20930 Bonita St, Suite Y, Carson, CA 90746-3680 | 2010-02-10 |
| 1063744316 | Martin Okon | Counselor | 20930 Bonita St, Sute Y, Carson, CA 90746-3680 | 2010-02-10 |
| 1477702934 | Cappie Baker, Dds, Ms, A Professional Corporation | Dentist | 20930 Bonita St, Suite X, Carson, CA 90746-3680 | 2008-09-09 |
| 1770753618 | Peter Oziegbe | Counselor | 20930 Bonita St, Suite Y, Carson, CA 90746-3680 | 2008-03-06 |
| 1639354400 | Dalia Karina Demara | Counselor | 20930 Bonita St, Suite Y, Carson, CA 90746-3680 | 2007-12-29 |
| 1609057520 | Dezella Marie Banks | Counselor | 20930 Bonita St, Suite Y, Carson, CA 90746-3680 | 2007-11-19 |
| 1124163100 | Pavillion Healthcare Services | Community/Behavioral Health | 20930 Bonita St, Suite Y, Carson, CA 90746-3680 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172837 | Darren Nakano Chiropractic, Professional Corporation | Chiropractor | 460 East Carson Plaza Drive, Suite 116, Carson, CA 90746 | 2019-09-05 |
| 1205370079 | Natalie Bland | Nurse Practitioner | 454 E. Carson Plaza Drive Suite 211, Carson, CA 90746 | 2016-12-13 |
| 1891146767 | Francis O Okpan | Nurse Practitioner | 17546 Buttonwood Ln, Carson, CA 90746 | 2016-06-22 |
| 1689049371 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 20710 Leapwood Ave Ste E, Carson, CA 90746 | 2015-12-07 |
| 1447649108 | Brandi Glenn | Occupational Therapist | 17811 Hazelwood Court, Carson, CA 90746 | 2015-01-20 |
| 1700226263 | Allen Berger | Counselor | 460 Est. Carson Plaza Dr. #119, Carson, CA 90746 | 2013-06-28 |
| 1902147036 | Basen Inc | Counselor | 460 Carson Plaza Drive, Ste 106, Carson, CA 90746 | 2013-03-14 |
| 1811238298 | Basen Inc | Counselor | 460 E Carsin Plaza Dr, #106, Carson, CA 90746 | 2013-03-08 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1467718601 | Laquesha Shonte Robinson | Counselor | 460 E. Carson Plaza Drive, Suite 200, Carson, CA 90746 | 2012-04-02 |
| Find all providers in zip 90746 | ||||
| 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 |
|---|---|---|---|---|
| 1861911125 | Maria C Aluning | Dentist | 242 W. Carson St., Carson, CA 90745 | 2017-09-18 |
| 1144676024 | Omid Barkhordar Dental Corporation | Dentist | 101 West Carson Street, Carson, CA 90745 | 2016-05-10 |
| 1154780062 | Ganji and Ganji Dental Corporation | Dentist | 20401 Avalon Blvd Ste A, Carson, CA 90746-3226 | 2016-02-19 |
| 1578845277 | Woong Lee | Dentist | 20700 Avalon Blvd Ste 600, Carson, CA 90746-3701 | 2011-09-19 |
| 1871742965 | In Oh | Dentist | 10 Tomahawk Ln, Carson, CA 90745-5665 | 2008-09-12 |
| 1649471897 | Frederick Kam Chuan Si | Dentist | 426 W Carson St, Suite 7, Carson, CA 90745 | 2007-05-29 |
| 1871614818 | Jenifer B Labrador Dds Inc | Dentist | 22211 S Avalon Blvd, Carson, CA 90745 | 2007-04-03 |
| 1013037688 | Jaubin Dinh Nguyen | Dentist | 1754 E Carson St, Carson, CA 90745-2506 | 2007-03-29 |
| 1417088253 | Lezita Topacio Go-reyes | Dentist | 284 E Sepulveda Blvd, Carson, CA 90745-6323 | 2007-03-07 |
| 1598893109 | Carlito Briones Bautista | Dentist | 111 E 220th St, Suite A-b, Carson, CA 90745-3060 | 2007-03-02 |
| Find all providers in CARSON | ||||
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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.