SPECIALTY DENTAL GROUP (NPI# 1386986362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386986362 |
| Entity Type | Organization |
| Organization Name | SPECIALTY DENTAL GROUP |
| Practice Address |
1777 N Bellflower Blvd Ste 102 Long Beach CA 90815-4019 |
| Practice Telephone | 9099487211 |
| Practice Fax Number | 9099487213 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | JORGE OSORIO (PARTNER) |
| Authorized Official Telephone | 9099487213 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
CA | Dental Providers | |
| Y | 122300000X | Dentist | CA | Dental Providers |
| Street Address |
1777 N BELLFLOWER BLVD STE 102 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497930457 | Hyun Woo Kim | Dentist | 1777 N Bellflower Blvd Ste 102, Long Beach, CA 90815-4019 | 2008-01-08 |
| 1295389815 | Hyun W Kim Dds Inc | Clinic/Center | 1777 N Bellflower Blvd Ste 102, Long Beach, CA 90815-4019 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| 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 |
|---|---|---|---|---|
| 1467069633 | Jonathan Beroukhim Dds Inc | Dentist | 6950 N Paramount Blvd, Long Beach, CA 90805-1863 | 2020-09-30 |
| 1093347437 | Leila Zamiri Dds Inc | Dentist | 3317 E 10th St, Long Beach, CA 90804-5050 | 2020-02-04 |
| 1356971063 | Michael Bui Dmd, Inc | Dentist | 3320 N Los Coyotes Diagonal Ste 250, Long Beach, CA 90808-3939 | 2020-01-22 |
| 1518508605 | Wu and Najafi Dental Corporation | Dentist | 7370 Carson Blvd, Long Beach, CA 90808-2360 | 2019-10-01 |
| 1487205878 | Steven Wu Dental Corporation | Dentist | 7603 Carson Blvd, Long Beach, CA 90808-2367 | 2019-09-26 |
| 1336792068 | Nam G Bui | Dentist | 4808 Bentree Ave, Long Beach, CA 90807-1007 | 2019-07-22 |
| 1568023265 | Alice Khieu Flores | Dentist | 1321 Lemon Ave, Long Beach, CA 90813-2100 | 2019-06-24 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1851875405 | Ronald C. Abaro Dds Inc | Dentist | 627 Magnolia Ave Ste 105, Long Beach, CA 90802-1289 | 2018-09-19 |
| 1548754260 | Peace Kim Dentistry, Inc. | Dentist | 3840 Woodruff Ave Ste 107, Long Beach, CA 90808-2148 | 2018-06-16 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
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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.