MARYSOL B. REALON DDS A PROF. DENTAL CORP (NPI# 1508023235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508023235 |
Entity Type | Organization |
Organization Name | MARYSOL B. REALON DDS A PROF. DENTAL CORP |
Practice Address |
259 E. Louise Ave Lathrop CA 95330 |
Practice Telephone | 2096298573 |
Practice Fax Number | 2096298574 |
Mailing Telephone | 2096298573 |
Mailing Fax Number | 2096298574 |
Enumeration Date | 2008-05-20 |
Last Update Date | 2015-05-26 |
Authorized Official Name | MRS. MARYSOL B. REALON (DENTIST) |
Authorized Official Telephone | 2096298573 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 53855 | CA | Dental Providers |
Street Address |
259 E. LOUISE AVE |
City | LATHROP |
State | CA |
Zip Code | 95330 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861919938 | Lathrop Pharmacy, LLC. | Pharmacy | 201 E. Louise Ave, Lathrop, CA 95330 | 2017-08-29 |
1063936052 | Japneet S Dhillon Dds Inc | Dentist | 15366 S Harlan Rd, Lathrop, CA 95330 | 2017-08-01 |
1992966253 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 16858 Golden Valley Pkwy, Lathrop, CA 95330 | 2008-06-19 |
1104048107 | Myduyen Tran | Dentist | 15136 Harlan Rd., Lathrop, CA 95330 | 2007-05-02 |
1043689193 | Joy Viscia Victoria Bareng | Pharmacist | 16858 Golden Valley Pkwy, Lathrop, CA 95330 | 2015-09-18 |
1851645287 | Amarpreet Kaur Sidhu | Pharmacist | 16858 Golden Valley Parkway, Lathrop, CA 95330 | 2012-11-07 |
1275801946 | Han Nguyen | Pharmacist | 16858 Golden Valley Pkwy, T2347, Lathrop, CA 95330 | 2011-12-08 |
1184910820 | Jennifer Leung | Pharmacist | 16858 Golden Valley Parkway, T-2347, Lathrop, CA 95330-7296 | 2011-06-21 |
1154959666 | Edgar D Lardizabal | Registered Nurse | 1705 Cranbrook Ct, Lathrop, CA 95330-8244 | 2020-03-30 |
1689781361 | Rawel Singh Randhawa | Specialist | 577 Lakeside Dr, Lathrop, CA 95330-8406 | 2006-08-25 |
Find all providers in zip 95330 |
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 |
---|---|---|---|---|
1063936052 | Japneet S Dhillon Dds Inc | Dentist | 15366 S Harlan Rd, Lathrop, CA 95330 | 2017-08-01 |
1831302389 | Marysol B Realon | Dentist | 259 Louise Ave, Lathrop, CA 95330-8631 | 2007-05-08 |
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.