MK SG DENTAL CORP (NPI# 1164698379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164698379 |
| Entity Type | Organization |
| Organization Name | MK SG DENTAL CORP |
| Other Organization Name | ORANGE COUNTY DENTAL SPECIALIST |
| Practice Address |
15825 Laguna Canyon Rd 206 Irvine CA 92618-2125 |
| Mailing Address |
18525 Laguna Canyon Road #206 Irvine CA 92618 |
| Practice Telephone | 9497898989 |
| Practice Fax Number | 9494530970 |
| Mailing Telephone | 9497898989 |
| Mailing Fax Number | 9494530970 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | MR. SAM GILANI (CO-OWNER) |
| Authorized Official Telephone | 9497898989 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
CA | Dental Providers | |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
CA | Dental Providers | |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
CA | Dental Providers | |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
CA | Dental Providers | |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
CA | Dental Providers | |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Orange County Dental Specialist | Doing Business As Name - Organization |
| Street Address |
15825 LAGUNA CANYON RD 206 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586778 | Charles Robert Sexton | Dermatology | 15825 Laguna Canyon Rd, Ste 203, Irvine, CA 92618-2127 | 2005-05-23 |
| 1598111262 | Anjali Monga Md Inc | Obstetrics & Gynecology | 15825 Laguna Canyon Rd, Suite 102, Irvine, CA 92618-2125 | 2016-05-11 |
| 1750771630 | Joyce C. Chen, Md, PC | Plastic Surgery | 15825 Laguna Canyon Rd, Suite 208, Irvine, CA 92618-2125 | 2015-01-29 |
| 1508126319 | Nina Sharma | Dentist | 15825 Laguna Canyon Rd, Suite 206, Irvine, CA 92618-2125 | 2012-05-25 |
| 1578887790 | Irvine Gastroenterology | Clinic/Center | 15825 Laguna Canyon Rd, Suite 106, Irvine, CA 92618-2125 | 2010-03-17 |
| 1811139595 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 15825 Laguna Canyon Rd, Suite 201, Irvine, CA 92618-2125 | 2009-03-27 |
| 1063687648 | United Medical Radiology Network | Clinic/Center | 15825 Laguna Canyon Rd, # 101, Irvine, CA 92618-2125 | 2008-04-24 |
| 1477722643 | Joyce Chiyi Chen | Plastic Surgery | 15825 Laguna Canyon Rd, Suite 208, Irvine, CA 92618-2125 | 2008-02-21 |
| 1699960864 | Joseph L Packer | Dentist | 15825 Laguna Canyon Rd, Irvine, CA 92618-2125 | 2007-09-11 |
| 1346397817 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 15825 Laguna Canyon Rd, Suite 201, Irvine, CA 92618-2125 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104204023 | Taylor Manalili | Dentist | 18551 Von Karman Ave, Irvine, CA 92612-1552 | 2015-05-12 |
| 1144627191 | Choi Dental Corporation | Dentist | 113 Waterworks Way Ste 120, Irvine, CA 92618-3171 | 2014-11-19 |
| 1700919248 | James W Kim | Dentist | 3971 Irvine Blvd, Ste. 102, Irvine, CA 92602-2482 | 2007-03-13 |
| 1871769109 | Janice Y. Park-kim, D.d.s., Inc. | Dentist | 3971 Irvine Blvd, Ste. 102, Irvine, CA 92602-2482 | 2008-05-06 |
| 1518177179 | Larry Gene Hampsten | Dentist | 2192 Martin, 250, Irvine, CA 92612-1428 | 2007-05-23 |
| 1306064902 | David Sungkun Hahn | Dentist | 4980 Barranca Pkwy, Ste 205, Irvine, CA 92604-8645 | 2007-04-22 |
| 1710021902 | Behrooz Ben Javid | Dentist | 2500 Alton Pkwy, Suite 208, Irvine, CA 92606-5024 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
| 1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
| 1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
| 1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
| 1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
| 1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
| 1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
| 1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
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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.