WESTERN DENTAL SERVICES, INC. (NPI# 1275694689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275694689 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
2701 W 1st St Santa Ana CA 92703-3443 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 7149732022 |
| Practice Fax Number | 7148356954 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-10-28 |
| 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 | G90179-22 | 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 |
2701 W 1ST ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92703-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343715 | Khanhlam Kim Phan | Dentist | 2701 W 1st St, Santa Ana, CA 92703-3443 | 2005-11-15 |
| 1467004853 | Betty S Lee | Dentist | 2701 W 1st St, Santa Ana, CA 92703-3443 | 2019-07-15 |
| 1730368267 | Youssef Guindy | Dentist | 2701 W 1st St, Santa Ana, CA 92703-3443 | 2007-11-01 |
| 1912186362 | Sumity Sharma | Dentist | 2701 W 1st St, Santa Ana, CA 92703-3443 | 2007-11-01 |
| 1528247061 | Maryam Jackson Viii | Dentist | 2701 W 1st St, Santa Ana, CA 92703-3443 | 2007-11-01 |
| 1578751434 | Katerina Kleinova | Dentist | 2701 W 1st St, Santa Ana, CA 92703-3443 | 2007-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580806 | F Rodef & B Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-10-28 |
| 1699283465 | Vinnie Quan Nguyen | Pharmacist | 941 Fair Way, Santa Ana, CA 92703 | 2018-01-16 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1568823342 | Reina M Escolero | Registered Nurse | 1708 W. 12th Street, Santa Ana, CA 92703 | 2016-03-08 |
| 1528427994 | Nathaniel Gandy Lane | Physician Assistant | 420 S. Bristol St., Santa Ana, CA 92703 | 2016-02-15 |
| 1285035626 | Elizabeth Nieto Patino | Specialist/Technologist | 4201 W 5th St #211, Santa Ana, CA 92703 | 2014-09-04 |
| 1790113108 | Monica Susie Kim | Acupuncturist | 100 N Harbor Blvd., Unit C-7, Santa Ana, CA 92703 | 2013-10-22 |
| 1730525833 | Ryan Hoida | Counselor | 1202 W Civic Dr, Santa Ana, CA 92703 | 2013-05-15 |
| 1861777625 | Minh Pharmacy | Pharmacy | 5110 Westminster Ave #b, Santa Ana, CA 92703 | 2011-10-12 |
| 1518241868 | James Shon | Acupuncturist | 1111 N. Bristol #j, Santa Ana, CA 92703 | 2011-10-05 |
| Find all providers in zip 92703 | ||||
| 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 |
|---|---|---|---|---|
| 1750997011 | Anisha Nguyen Dds Prof. Corp. | Dentist | 5127 W Edinger Ave Ste E, Santa Ana, CA 92704-1969 | 2020-09-21 |
| 1801430913 | A Nguyen Dental Corporation | Dentist | 2414 S Fairview St Ste 107a, Santa Ana, CA 92704-5345 | 2019-10-31 |
| 1225509235 | Archung & Lagatta Dds, Inc | Dentist | 1702 S Main St, Santa Ana, CA 92707-1836 | 2018-12-17 |
| 1326520735 | Truman Kim Nguyen | Dentist | 1234 S Karen Ave, Santa Ana, CA 92704-2034 | 2018-08-31 |
| 1700389830 | Edward Hakim Dds Incorporated | Dentist | 3500 S Bristol St Ste 101, Santa Ana, CA 92704-7319 | 2018-03-15 |
| 1619495322 | Mary Strachan | Dentist | 11632 Ranch Hl, Santa Ana, CA 92705-3130 | 2017-09-01 |
| 1790201762 | Acevedo Dental Office, Inc. | Dentist | 2800 N Main St Unit 1010, Santa Ana, CA 92705-6608 | 2017-08-21 |
| 1467976555 | Heather Brittany Simpson | Dentist | 1913 E 17th St Ste 113, Santa Ana, CA 92705-8627 | 2017-07-31 |
| 1336683549 | Avishan K. Nasiri, Dmd, Inc. | Dentist | 801 N Tustin Ave Ste 504, Santa Ana, CA 92705-3609 | 2016-12-06 |
| 1841742954 | Andy Truong | Dentist | 120 S Harbor Blvd Ste A, Santa Ana, CA 92704-1382 | 2016-10-25 |
| Find all providers in SANTA ANA | ||||
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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.