PARK AND PARK DENTAL GROUP PARTNERSHIP (NPI# 1215535182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215535182 |
| Entity Type | Organization |
| Organization Name | PARK AND PARK DENTAL GROUP PARTNERSHIP |
| Practice Address |
473 E Alessandro Blvd Ste A Riverside CA 92508-6021 |
| Practice Telephone | 9517896886 |
| Practice Fax Number | 9517801998 |
| Mailing Telephone | 9517896886 |
| Mailing Fax Number | 9517801998 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MYUNG KEE PARK (OWNER) |
| Authorized Official Telephone | 9095246119 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Smile Builder | Doing Business As Name - Organization |
| Street Address |
473 E ALESSANDRO BLVD STE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92508-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257121 | Careconnexus, LLC | Non-emergency Medical Transport (VAN) | 9338 Millionaire Lane, Riverside, CA 92508 | 2018-08-31 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1043610769 | Mountain Vista Medical Center | General Acute Care Hospital | 8168 Palm View Ln, Riverside, CA 92508 | 2014-08-29 |
| 1952642399 | John Lawrence Bowers | Marriage & Family Therapist | 19900 Grove Community Drive, Riverside, CA 92508 | 2013-03-11 |
| 1952605248 | Dennis Graves | Counselor | 17270 Roosevelt Ave, Riverside, CA 92508 | 2011-01-01 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| 1518144625 | Irene T. Zaki | Dentist | 20873 Grove Community Dr., Riverside, CA 92508 | 2008-01-31 |
| 1093902447 | Edward Keith Forward | Specialist | 18167 Kross Rd, Riverside, CA 92508 | 2007-10-01 |
| 1255523593 | Sopheap Tang | Dentist | 18876 Van Buren Blvd, Ste 107, Riverside, CA 92508 | 2007-08-10 |
| 1942336995 | Ching-roo Chi | Dentist | 473 E. Allessandro Blvd., Suite A, Riverside, CA 92508 | 2007-02-26 |
| Find all providers in zip 92508 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497315550 | Dinesh Makadia Dental Inc | Clinic/Center | 6270 Van Buren Blvd, Riverside, CA 92503-2024 | 2019-06-19 |
| 1841786092 | Morgan Dental Corporation | Clinic/Center | 3845 Pierce St Ste A, Riverside, CA 92503-4983 | 2018-07-10 |
| 1720577570 | Indian Hills Dental, Avila Dental Corporation | Clinic/Center | 8300 Limonite Ave Ste C, Riverside, CA 92509-5174 | 2018-05-08 |
| 1659738722 | Mathew Luu Dds Inc | Clinic/Center | 9448 Magnolia Ave Ste A, Riverside, CA 92503-3704 | 2016-01-20 |
| 1265873749 | Jin H Park Dds Inc | Clinic/Center | 9295 Magnolia Ave Ste 103, Riverside, CA 92503-3800 | 2013-07-11 |
| 1124324561 | Sergio P. Saucedo Dds Inc. | Clinic/Center | 6165 Valley Springs Pkwy, Suite E, Riverside, CA 92507-0963 | 2011-02-02 |
| 1356582076 | Julia Romitan Dds,inc | Clinic/Center | 6860 Brockton Ave. Suite 12, Riverside, CA 92506 | 2009-03-09 |
| 1235259862 | Nihon Shika Group | Clinic/Center | 1212 E Putnam Ave, Riverside, CT 06878-1431 | 2007-03-29 |
| 1255434676 | Wayne R Low Dds Inc | Clinic/Center | 6862 Palm Ave, Riverside, CA 92506 | 2006-09-07 |
| 1154961522 | Bassam W. Fargo, Dds, Inc. | Clinic/Center | 1717 3rd St, Riverside, CA 92507-3435 | 2020-01-13 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on PARK AND PARK DENTAL GROUP PARTNERSHIP.
| 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.