DR. MYLA MARIE VILLANUEVA (NPI# 1518148220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518148220 |
| Entity Type | Individual |
| Full Name | DR. MYLA MARIE VILLANUEVA |
| Credential | D.M.D. |
| Practice Address |
6728 Sao Tiago Way Elk Grove CA 95757-3435 |
| Mailing Address |
Po Box 2410 Elk Grove CA 95759-2410 |
| Practice Telephone | 9167590166 |
| Mailing Telephone | 9167590165 |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
43405 | CA | Dental Providers |
| Street Address |
6728 SAO TIAGO WAY |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95757-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447896600 | Cassandra Jan Cassas I | Behavior Technician | 9832 Tundra Swan, Elk Grove, CA 95757 | 2019-11-22 |
| 1386287027 | Winslow Dds Inc. | Clinic/Center | 10043 Bruceville Road, Unit 160, Elk Grove, CA 95757 | 2019-10-25 |
| 1386206696 | Daniel & Max, LLC | Optometrist | 7150 Elk Grove Blvd, Elk Grove, CA 95757 | 2019-07-08 |
| 1033684865 | Lua Davidson | Behavioral Analyst | 5504 Aspen Grove Ln, Elk Grove, CA 95757 | 2018-10-08 |
| 1821578386 | Michele Elizabeth Amato | Behavior Technician | 8350 Lotz Parkway, Elk Grove, CA 95757 | 2018-08-15 |
| 1043759632 | Costco Wholesale Corporation | Pharmacy | 7400 Elk Grove Boulevard, Elk Grove, CA 95757 | 2017-02-16 |
| 1497207351 | Ron Dancy | Genetic Counselor, MS | 9864 West Taron Dr, Elk Grove, CA 95757 | 2016-10-26 |
| 1780051524 | Jesselle Pablo | Counselor | 10227 Pedra Do Sol Way, Elk Grove, CA 95757 | 2015-08-27 |
| 1851708945 | Yen Ngoc Hoang | Pharmacist | 8257 Hopewell Drive, Elk Grove, CA 95757 | 2014-07-21 |
| 1477742070 | Nkechi Akudo Nzerem-johnson | Pediatrics | Dignity Health Medical Plaza, 8220 Wymark Drive Suite 200, Elk Grove, CA 95757 | 2007-10-18 |
| Find all providers in zip 95757 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473719 | G. Sekhon, A Professional Corp | Dentist | 9307 Laguna Springs Dr Ste 110, Elk Grove, CA 95758-7845 | 2020-10-02 |
| 1487208310 | Charles Alfred Benavidez Sr. | Dentist | 8007 Laguna Blvd Ste 3, Elk Grove, CA 95758-8127 | 2019-07-29 |
| 1285286203 | Trevor John Dominic Chen | Dentist | 9117 Trumbauer Way, Elk Grove, CA 95758-7434 | 2019-07-10 |
| 1629535463 | Mona M Ragaie | Dentist | 5500 Mariolyn Way, Elk Grove, CA 95757-1625 | 2019-02-28 |
| 1215410170 | Quoc Christopher Nguyen | Dentist | 4809 Laguna Blvd Ste 90, Elk Grove, CA 95758-7044 | 2018-09-07 |
| 1467806588 | Amardeep Bains | Dentist | 9250 Laguna Springs Drive, Suite 205, Elk Grove, CA 95758 | 2016-04-14 |
| 1578961504 | Laguna Springs Dental | Dentist | 9299 Laguna Springs Dr, #100, Elk Grove, CA 95758-7976 | 2014-12-08 |
| 1558763771 | S Park Dds Inc | Dentist | 9727 Elk Grove Florin Rd Ste 155, Elk Grove, CA 95624-2291 | 2014-09-18 |
| 1174888044 | Roy A Eakin | Dentist | 9345 Boulder River Way, Elk Grove, CA 95624-4052 | 2012-07-06 |
| 1740517580 | Kirk Youngman | Dentist | 8013 Laguna Blvd, Ste #2, Elk Grove, CA 95758-7920 | 2009-11-16 |
| Find all providers in ELK GROVE | ||||
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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.