WESTERN DENTAL SERVICES, INC. (NPI# 1306489505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306489505 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
1153 W Pacheco Blvd Los Banos CA 93635-8617 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 2093832207 |
| Practice Fax Number | 2093832363 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145716445 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| 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 | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G86209 | 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 |
| 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 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| Street Address |
1153 W PACHECO BLVD |
| City | LOS BANOS |
| State | CA |
| Zip Code | 93635-8617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779780 | Heeyun Kang | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1972072528 | Lara Avedian | Physician Assistant | 520 W. Street, Los Banos, CA 93635 | 2018-11-13 |
| 1871095349 | Amy Villada Cabrera | Behavior Technician | 138 Beajolais Ct, Los Banos, CA 93635 | 2018-03-01 |
| 1699107045 | Sonia Vasconcelos | Licensed Vocational Nurse | 14950 Badger Flat Rd., Los Banos, CA 93635 | 2013-08-07 |
| 1275804981 | West Eye Incorporated | Optometrist | 1030 West I Street, Los Banos, CA 93635 | 2012-01-26 |
| 1932418282 | Aspiranet | Community/Behavioral Health | 285 Mercey Springs Road, Suite E, Los Banos, CA 93635 | 2010-10-05 |
| 1669781241 | Benjamin J. Seaton Dds | Dentist | 816 Second St., Los Banos, CA 93635 | 2010-09-30 |
| 1124291711 | Do and Huh, Dds Inc | Dentist | 1989 East Pacheco Blvd, #j, Los Banos, CA 93635 | 2008-04-04 |
| 1831369057 | A. Lujan Recovery Programs Inc. | Substance Abuse Rehabilitation Facility | 80 G. St. Bld. 3, Suite B, Los Banos, CA 93635 | 2008-03-04 |
| 1184807125 | Oscar F Lopez | Specialist | 1791 Mills Dr, Mobile Massage, Los Banos, CA 93635 | 2007-12-13 |
| Find all providers in zip 93635 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194198036 | Jun Lee | Dentist | 1989 E Pacheco Blvd Ste I, Los Banos, CA 93635-4951 | 2015-10-31 |
| 1669781241 | Benjamin J. Seaton Dds | Dentist | 816 Second St., Los Banos, CA 93635 | 2010-09-30 |
| 1124291711 | Do and Huh, Dds Inc | Dentist | 1989 East Pacheco Blvd, #j, Los Banos, CA 93635 | 2008-04-04 |
| 1790811669 | Andrew A Smith, Inc. | Dentist | 1314 S 6th St, Los Banos, CA 93635-4729 | 2007-02-26 |
| 1538779780 | Heeyun Kang | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2020-08-03 |
| 1184250342 | Zeenat Khan | Dentist | 725 W I St, Los Banos, CA 93635-3478 | 2020-03-19 |
| 1598311961 | Ngoc Thach Thi Nguyen | Dentist | 725 W I St, Los Banos, CA 93635-3478 | 2019-08-12 |
| 1962054700 | Jason Anthony Bendas | Dentist | 816 2nd St, Los Banos, CA 93635-4124 | 2019-07-11 |
| 1073918447 | Andrew Smith | Dentist | 1314 S 6th St, Los Banos, CA 93635-4729 | 2014-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.