W. FREDERICK STEPHENS,DDS,INC (NPI# 1174797708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174797708 |
| Entity Type | Organization |
| Organization Name | W. FREDERICK STEPHENS,DDS,INC |
| Other Organization Name | THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY |
| Practice Address |
301 S Fair Oaks Ave Suite #107 Pasadena CA 91105-2561 |
| Practice Telephone | 6264400099 |
| Practice Fax Number | 6264401002 |
| Mailing Telephone | 6264400099 |
| Mailing Fax Number | 6264401002 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | DR. WILLIAM FREDERICK STEPHENS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6264400099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
34775 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| The Pacific Coast Center for Oral & Facial Surgery | Doing Business As Name - Organization |
| Street Address |
301 S FAIR OAKS AVE SUITE #107 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093832 | Jack S Broussard Jr. | Dentist | 301 S Fair Oaks Ave, Ste 204, Pasadena, CA 91105-2536 | 2005-06-16 |
| 1528593357 | Souna Sarkis | Pharmacist | 301 S Fair Oaks Ave, Suite Number 104, Pasadena, CA 91105-2561 | 2017-04-30 |
| 1750740080 | Orange County Orofacial Pain Associates Inc | 301 S Fair Oaks Ave, Suite 402, Pasadena, CA 91105-2561 | 2016-02-15 | |
| 1740646124 | Kyung A Cho | Nurse Practitioner | 301 S Fair Oaks Ave, 404, Pasadena, CA 91105-2561 | 2016-01-14 |
| 1780066613 | Marlys R Drange, Md,inc | Internal Medicine | 301 S Fair Oaks Ave, Suite 105, Pasadena, CA 91105-2561 | 2015-06-27 |
| 1457775736 | Unicare Pharmacy & Supply Inc | Durable Medical Equipment & Medical Supplies | 301 S Fair Oaks Ave, Ste 104, Pasadena, CA 91105-2561 | 2014-02-07 |
| 1467886549 | Healthy Living Medical, Inc | Clinic/Center | 301 S Fair Oaks Ave, Suite 404, Pasadena, CA 91105-2561 | 2013-08-26 |
| 1255772554 | Michael E Steuer, Md, PC | Specialist | 301 S Fair Oaks Ave, Ste 105, Pasadena, CA 91105-2561 | 2013-07-15 |
| 1811234909 | Beauty Swe, Md, Inc. | Internal Medicine | 301 S Fair Oaks Ave, Suite 203, Pasadena, CA 91105-2561 | 2013-01-09 |
| 1134476195 | American Medical Evaluation Centers Inc | Internal Medicine | 301 S Fair Oaks Ave, Ste 107, Pasadena, CA 91105-2561 | 2012-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1972941292 | Tony Tian Lian Li | Dentist | 163 N Marengo Ave, #401, Pasadena, CA 91101-4509 | 2013-06-09 |
| 1669619763 | Simon Kyuseok Choyee | Dentist | 170 W Dayton St # 3015, Pasadena, CA 91105-4517 | 2009-01-11 |
| 1487736591 | William Frederick Stephens | Dentist | 301 S Fair Oaks Ave Ste 107, Pasadena, CA 91105-2536 | 2006-10-19 |
| 1801872395 | Kimberly A Ebner Dds Inc | Dentist | 1060 E Green Street, Suite 105, Pasadena, CA 91106 | 2005-12-16 |
| 1174145726 | Noor Oms Pllc | Dentist | 6429 Fairmont Pkwy Ste 102, Pasadena, TX 77505-4357 | 2020-05-16 |
| 1114146123 | Warner Evans Heathman | Dentist | 4010 Vista Rd, Suite B, Pasadena, TX 77504-2183 | 2007-04-25 |
| 1285779785 | Karen Mygil | Dentist | 8025 Ritchie Hwy, Pasadena, MD 21122-1031 | 2007-02-21 |
| 1811056294 | Wes Lee Hill | Dentist | 301 S Fair Oaks Ave, Suite 107, Pasadena, CA 91105-2561 | 2006-12-08 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on W. FREDERICK STEPHENS,DDS,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.