21ST CENTURY DENTAL (NPI# 1477097616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477097616 |
| Entity Type | Organization |
| Organization Name | 21ST CENTURY DENTAL |
| Practice Address |
8907 Warner Ave Ste 100 Huntington Beach CA 92647-5079 |
| Mailing Address |
8907 Warner Ave. #100 Huntington Beach CA 92647 |
| Practice Telephone | 7148487777 |
| Practice Fax Number | 7148487388 |
| Mailing Telephone | 7148487777 |
| Mailing Fax Number | 7148487388 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | DARIN FONG (OWNER/PRESIDENT) |
| Authorized Official Telephone | 7148487777 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
41079 | CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | 21ST CENTURY DENTAL MANAGEMENT, LLC | 301 West 53rd Street, Apt. 21k, New York, New York 10019 |
| New York State Corporations | 21ST CENTURY DENTAL SUPPLY, LLC | 34-30 31st Street, Long Island City, Ny 11106 |
| New York State Corporations | 21ST CENTURY DENTAL, P.C. | 250 E 58th St, 2nd Fl, New York, Ny 10022 |
| Street Address |
8907 WARNER AVE STE 100 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-5079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451176 | Darin Fong Dds Inc. | Clinic/Center | 8907 Warner Ave Ste 100, Huntington Beach, CA 92647-5079 | 2020-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1457834467 | Farhad Mazi, Dds, A Professional Corporation | Clinic/Center | 7772 Warner Ave Ste 105, Huntington Beach, CA 92647-8028 | 2018-09-14 |
| 1336632447 | Tsai Hb Dds Inc | Clinic/Center | 20932 Brookhurst St Ste 103, Huntington Beach, CA 92646-6685 | 2018-06-13 |
| 1316239619 | Graciela K Sullivan Dds Inc | Clinic/Center | 5112 Warner Ave Ste 104, Huntington Beach, CA 92649-6036 | 2011-05-05 |
| 1235748120 | Shang Dmd Dental Corporation | Clinic/Center | 21222 Beach Blvd, Huntington Beach, CA 92648-5411 | 2020-07-27 |
| 1205451176 | Darin Fong Dds Inc. | Clinic/Center | 8907 Warner Ave Ste 100, Huntington Beach, CA 92647-5079 | 2020-06-16 |
| 1659914612 | Serena T Ta Dental Corporation | Clinic/Center | 18700 Main St Ste 203, Huntington Beach, CA 92648-1714 | 2019-10-23 |
| 1477049724 | Steven J. Nguyen, Dds. PC. | Clinic/Center | 9506 Hamilton Ave, Huntington Beach, CA 92646-8074 | 2018-07-10 |
| 1144748344 | Jefferey Pham Dental Corp | Clinic/Center | 7812 Warner Ave, Huntington Beach, CA 92647-4700 | 2017-09-07 |
| 1134589070 | Manolet Santos Dds Professional Dental Corporation | Clinic/Center | 10106 Adams Ave, Huntington Beach, CA 92646-4907 | 2016-03-04 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
Please comment or provide details below to improve the information on 21ST CENTURY DENTAL.
| 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.