COLE AND CLARK DENTAL CORPORATION (NPI# 1255520235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255520235 |
| Entity Type | Organization |
| Organization Name | COLE AND CLARK DENTAL CORPORATION |
| Practice Address |
1801 Solar Dr #100 Oxnard CA 93030-8234 |
| Practice Telephone | 8059833131 |
| Practice Fax Number | 8059833000 |
| Mailing Telephone | 8059833131 |
| Mailing Fax Number | 8059833000 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2013-04-11 |
| Authorized Official Name | DR. WILLIAM JAMES CLARK (OWNER) |
| Authorized Official Telephone | 8059833131 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
39247 | CA | Dental Providers |
| N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
39247 | CA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
39247 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GP # | W14838 | 01 |
| CA | B29573-01 | 05 |
| Street Address |
1801 SOLAR DR #100 |
| City | OXNARD |
| State | CA |
| Zip Code | 93030-8234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043276363 | Julian Lee-wen Chiang | Obstetrics & Gynecology | 1801 Solar Dr, Suite 251, Oxnard, CA 93030-0151 | 2006-04-25 |
| 1376897231 | Julian L Chiang Md A Professional Corporation | Obstetrics & Gynecology | 1801 Solar Dr, Suite 251, Oxnard, CA 93030-8234 | 2012-10-31 |
| 1902062854 | West Coast Plastic Surgery Center, Inc. | Plastic Surgery | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-8234 | 2008-07-31 |
| 1104010321 | Glenn R Simmons | Dentist | 1801 Solar Dr, Suite 140, Oxnard, CA 93030-8234 | 2007-08-30 |
| 1790979912 | Nadia A Sethi | Dentist | 1801 Solar Dr, Suite 140, Oxnard, CA 93030-8234 | 2007-08-30 |
| 1700084597 | Barbara J Greene | Contractor | 1801 Solar Dr, Suite 155, Oxnard, CA 93030-8234 | 2007-07-03 |
| 1346375227 | Adrienne E. Lara, M.d. Inc. | Obstetrics & Gynecology | 1801 Solar Dr, Suite 150, Oxnard, CA 93030-8234 | 2007-02-22 |
| 1912077314 | Channel Islands Plastic & Reconstructive Surgery Medical Group, Inc. | Otolaryngology | 1801 Solar Dr, #150, Oxnard, CA 93030-8234 | 2006-11-09 |
| 1871695759 | Adrienne E. Lara | Obstetrics & Gynecology | 1801 Solar Dr, Suite 155, Oxnard, CA 93030-8234 | 2006-09-02 |
| 1548271372 | Mousseli Chiropractic Corporation | Chiropractor | 1801 Solar Dr, Suite 165, Oxnard, CA 93030-8234 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1902204803 | Nicolas Dejong | Specialist/Technologist | 1751 Lombard St Ste A, Oxnard, CA 93030 | 2014-12-09 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| Find all providers in zip 93030 | ||||
| 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 |
|---|---|---|---|---|
| 1598708190 | Marwood M Stout | Dentist | 1701 Solar Dr, Suite 291, Oxnard, CA 93030-0134 | 2006-06-13 |
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| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 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 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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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.