WESTERN DENTAL SERVICES, INC. (NPI# 1215099536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215099536 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
617 N Main St Corona CA 92880-1467 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 9517369508 |
| Practice Fax Number | 9517381352 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | PREET TAKKAR (CHIEF INFORMATION OFFICER) |
| Authorized Official Telephone | 7145713372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G90179-11 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
617 N MAIN ST |
| City | CORONA |
| State | CA |
| Zip Code | 92880-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821158726 | Anjana V Patel | Dentist | 617 N Main St, Corona, CA 92880-1467 | 2006-12-11 |
| 1235748864 | Kazim Ali Mirza | Dentist | 617 N Main St, Corona, CA 92880-1467 | 2020-07-29 |
| 1497396154 | Karishma Dushyant Patel | Dentist | 617 N Main St, Corona, CA 92880-1467 | 2019-10-03 |
| 1275681652 | Farshad Alex Mazlomi | Dentist | 617 N Main St, Corona, CA 92880-1467 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| 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 |
|---|---|---|---|---|
| 1811530488 | Adria Marcinkowski | Dentist | 13100 Magnolia Ave Ste B, Corona, CA 92879-5365 | 2019-10-25 |
| 1972155877 | Timothy Rhee Dds Professional Corporation | Dentist | 260 E Ontario Ave Ste 205, Corona, CA 92879-3507 | 2019-07-10 |
| 1639731888 | Trevor Thomas Dental Corporation | Dentist | 460 N Mckinley St Ste 101, Corona, CA 92879-3405 | 2019-07-08 |
| 1437642220 | Cesar Steven Quezada | Dentist | 5530 99th St, Corona, NY 11368-3745 | 2018-06-07 |
| 1104356476 | 104 Dental, Pllc | Dentist | 10423 Roosevelt Avenue, Corona, NY 11368-2327 | 2017-06-19 |
| 1013453794 | Vasoya Dipakkumar Dds PC | Dentist | 301 W 6th St Ste 105, Corona, CA 92882-3304 | 2017-01-18 |
| 1003363243 | Juan Gerardo Martinez | Dentist | 490 N Main St Ste 207, Corona, CA 92878-3461 | 2016-09-06 |
| 1073965869 | Gerri Blick | Dentist | 10324 Roosevelt Ave Fl 2, Corona, NY 11368 | 2016-07-06 |
| 1316391303 | Michael I Saed | Dentist | 1074 W 6th St Ste 104, Corona, CA 92882-1639 | 2016-04-16 |
| 1760846950 | Rocio Palomino | Dentist | 3809 Junction Blvd Fl 2, Corona, NY 11368-2153 | 2016-04-13 |
| Find all providers in CORONA | ||||
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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.