EDWARD SALL DENTAL CORPORATION (NPI# 1215487624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215487624 |
Entity Type | Organization |
Organization Name | EDWARD SALL DENTAL CORPORATION |
Other Organization Name | TODD MORGAN DENTAL CORPORATION |
Practice Address |
488 E Valley Pkwy Suite 105 Escondido CA 92025-3363 |
Mailing Address |
5471 Kearny Villa Rd Ste 201 San Diego CA 92123-1105 |
Practice Telephone | 6192996299 |
Practice Fax Number | 6192996222 |
Mailing Telephone | 6192996299 |
Mailing Fax Number | 6192996222 |
Enumeration Date | 2016-10-10 |
Last Update Date | 2020-08-27 |
Authorized Official Name | ROSEANNE MARIA RODRIGUEZ (CONTRACTING REP) |
Authorized Official Telephone | 6192996299 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
Other Name | Type Code |
---|---|
SleepAlliance, Practice of Todd Morgan Dental Corporation | Doing Business As Name - Organization |
Todd Morgan Dental Corporation | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053859710 | Edward Sall Dental Corporation | Durable Medical Equipment & Medical Supplies | 5471 Kearny Villa Rd Ste 201, San Diego, CA 92123-1143 | 2017-02-02 |
Street Address |
488 E VALLEY PKWY SUITE 105 |
City | ESCONDIDO |
State | CA |
Zip Code | 92025-3363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679554372 | Branislav Cizmar | Obstetrics & Gynecology | 488 E Valley Pkwy, Suite 311, Escondido, CA 92025-3363 | 2005-11-09 |
1912433004 | Danielle R. Davidek | Nurse Practitioner | 488 E Valley Pkwy, Escondido, CA 92025-3363 | 2017-05-10 |
1366990897 | Sleep Data Holdings LLC | Durable Medical Equipment & Medical Supplies | 488 E Valley Pkwy, Suite 316, Escondido, CA 92025-3363 | 2016-09-13 |
1437499704 | Joseph Matthew Garvin | Registered Nurse | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2013-02-25 |
1285971820 | Arch Health Partners | Family Medicine | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2013-01-15 |
1548507858 | Caylie Valenta | Physician Assistant | 488 E Valley Pkwy, Suite 411, Escondido, CA 92025-3363 | 2013-01-07 |
1851650584 | Pegah Maryam Mashayekhi | Internal Medicine | 488 E Valley Pkwy, Suite 211, Escondido, CA 92025-3363 | 2012-05-15 |
1467762161 | Elizabeth Nguyen Cao | Obstetrics & Gynecology | 488 E Valley Pkwy, Suite 107, Escondido, CA 92025-3363 | 2010-10-14 |
1609195122 | Scripps Health | Clinic/Center | 488 E Valley Pkwy, Ste 411, Escondido, CA 92025-3363 | 2010-05-24 |
1528385200 | Escondido Ca Endoscopy Asc Lp | Anesthesiology | 488 E Valley Pkwy, Suite 110, Escondido, CA 92025-3363 | 2010-04-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
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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 |
---|---|---|---|---|
1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
1225090053 | Gerald P. Unhold | Dentist | 839 E Grand Ave, Escondido, CA 92025-3401 | 2006-04-05 |
1588850002 | Unhold, Mcdonald & Madsen Dental Corp | Dentist | 839 E Grand Ave, Escondido, CA 92025-3401 | 2007-09-18 |
1164624433 | Matthew James Madsen | Dentist | 839 E Grand Ave, Escondido, CA 92025-3401 | 2007-05-31 |
1992767735 | Ian S. Mcdonald | Dentist | 488 E Valley Pkwy, Suite 105, Escondido, CA 92025-3363 | 2006-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
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1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
1588221279 | David Sun Dds Inc | Dentist | 10 E Huntington Dr Ste D, Arcadia, CA 91006-3249 | 2019-05-29 |
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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.