ANGELA BEATRICE FEDONENKO


Address: 2171 Torrance Blvd Ste 1, Torrance, CA 90501-2657
Phone: 3109539339

ANGELA BEATRICE FEDONENKO (NPI# 1164941068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164941068
Entity Type Individual
Full Name ANGELA BEATRICE FEDONENKO
Credential DDS
Practice Address 2171 Torrance Blvd Ste 1
Torrance
CA 90501-2657
Mailing Address 9145 Charleville Blvd Apt 105
Beverly Hills
CA 90212-3501
Practice Telephone 3109539339
Enumeration Date 2017-09-12
Last Update Date 2017-10-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
102005 CA Dental Providers

Office Location

Street Address 2171 TORRANCE BLVD STE 1
City TORRANCE
State CA
Zip Code 90501-2657

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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1174143747 Dunlap Dentistry Dentist 3400 Lomita Blvd Ste 406, Torrance, CA 90505-4991 2020-04-23
1760953772 O.h. Barkhordar Dental Group, Inc Dentist 23609 Hawthorne Blvd Ste B, Torrance, CA 90505-5903 2018-12-17
1790270486 Juste Karvelyte Dentist 3500 Lomita Blvd Ste 201, Torrance, CA 90505 2018-06-26
1891288890 Ehab Samaan Dds Inc Dentist 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 2018-06-13
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1013467463 Javid Dental Corporation Dentist 24667 Crenshaw Blvd, Suite D, Torrance, CA 90505-5360 2016-10-10
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Competitor

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City TORRANCE
Zip Code 90501

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Dataset Information

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.

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