SANG C PAIK DDS (NPI# 1497979280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497979280 |
| Entity Type | Organization |
| Organization Name | SANG C PAIK DDS |
| Other Organization Name | EAGLE GLEN DENTAL GROUP |
| Practice Address |
3811 Bedford Canyon Rd Suite 105 Corona CA 92883 |
| Practice Telephone | 9512700211 |
| Practice Fax Number | 9512700702 |
| Mailing Telephone | 9512700211 |
| Mailing Fax Number | 9512700702 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANG CHURL PAIK (OWNER DENTIST) |
| Authorized Official Telephone | 9512700211 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 41861 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Eagle Glen Dental Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740406784 | Sang C Paik Dds | Dentist | 11201 Sierra Ave, Suite 1f, Fortana, CA 92337 | 2007-04-18 |
| Street Address |
3811 BEDFORD CANYON RD SUITE 105 |
| City | CORONA |
| State | CA |
| Zip Code | 92883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710496815 | Onyinye Yvonne Johnson | Nurse Practitioner | 27223 Lasso Way, Corona, CA 92883 | 2017-09-21 |
| 1215376850 | Jennifer Carol Bard | Speech-Language Pathologist | 4194 Floyd Drive, Corona, CA 92883 | 2013-06-17 |
| 1023359619 | Richard Joon Kim | Pharmacist | 4315 Driving Range Rd, Corona, CA 92883 | 2013-03-07 |
| 1740590330 | Kim-thoa Thi Vu | Pharmacist | 2243 Eagle Glen Parkway, Corona, CA 92883 | 2010-10-15 |
| 1114232154 | Always 'tfy' Hospice, Inc. | Hospice Care, Community Based | 9064 Pulsar Court, Ste E, Corona, CA 92883 | 2010-08-14 |
| 1952553844 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 11950 Depalma Rd, Corona, CA 92883 | 2008-10-22 |
| 1285615864 | Mallory Leon | Family Medicine | 25085 Pacific Crest Street, Corona, CA 92883 | 2005-11-09 |
| 1326038993 | Chan Woo Lee | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2005-10-25 |
| 1659575736 | Optique Optometry, A Professional Corporation | Optometrist | 2790 Cabot Drive, Suite 135, Corona, CA 92883 | 2007-06-13 |
| 1568674703 | Peppermint Ridge | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4045 Castle Pines Way, Corona, CA 92883-0603 | 2007-05-03 |
| Find all providers in zip 92883 | ||||
| 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 |
|---|---|---|---|---|
| 1063011799 | Jordan Chelsey Douglas | Dentist | 460 N Mckinley St, Corona, CA 92879-3405 | 2020-10-23 |
| 1003423286 | Radhika Makadia | Dentist | 8387 Butterfly Bush Ct, Corona, CA 92883-4936 | 2020-09-30 |
| 1225646706 | Shweta Jain | Dentist | 3460 Summitpointe Cir, Corona, CA 92881-8354 | 2020-07-21 |
| 1730797614 | Brittany Sharleen Watu | Dentist | 916 W. Sixth Street, Corona, CA 92882-3239 | 2020-07-16 |
| 1144868373 | Jacqueline Astrid Marquez | Dentist | 1312 E Ontario Ave Ste 102, Corona, CA 92881-6645 | 2019-12-18 |
| 1447715743 | J Chun Dental Corp | Dentist | 1112 W 6th St Ste 105, Corona, CA 92882-3137 | 2019-01-31 |
| 1831614213 | Sam S Park | Dentist | 1222 Magnolia Ave Ste 101, Corona, CA 92881-2075 | 2017-08-07 |
| 1609322155 | Abhishek Joshi Dds,inc. | Dentist | 12738 Longhorne Dr, Corona, CA 92880-8839 | 2016-08-25 |
| 1932559713 | Wonjoon Lee | Dentist | 3283 Quartz Cir, Corona, CA 92882-6096 | 2016-06-13 |
| 1124476254 | Bhavik Bhakta | Dentist | 770 Magnolia Ave Ste 1a, Corona, CA 92879-3121 | 2016-05-31 |
| Find all providers in CORONA | ||||
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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.