TRIEU P. TON, DDS, PROF. CORP. (NPI# 1528482999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528482999 |
Entity Type | Organization |
Organization Name | TRIEU P. TON, DDS, PROF. CORP. |
Other Organization Name | AUTUMN LAKE DENTAL |
Practice Address |
2199 Main St Oakley CA 94561-3303 |
Mailing Address |
400 Del Antico Ave Unit 699 Oakley CA 94561-5632 |
Practice Telephone | 9256008020 |
Practice Fax Number | 9254526323 |
Mailing Telephone | 9256008020 |
Mailing Fax Number | 9254526323 |
Enumeration Date | 2014-02-05 |
Last Update Date | 2014-02-05 |
Authorized Official Name | DR. TRIEU P TON (DENTIST/PRESIDENT) |
Authorized Official Telephone | 5305743396 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
59481 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Autumn Lake Dental | Doing Business As Name - Organization |
Street Address |
2199 MAIN ST |
City | OAKLEY |
State | CA |
Zip Code | 94561-3303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760798896 | Trieu Phuoc Ton | Dentist | 2199 Main St, Oakley, CA 94561-3303 | 2010-08-26 |
1427617703 | Jenny C Lui | Dentist | 2199 Main St, Oakley, CA 94561-3303 | 2019-06-10 |
1134614159 | Emily Thai | Dentist | 2199 Main St, Oakley, CA 94561-3303 | 2018-06-22 |
1245774769 | Noushafarin Alaie | Dentist | 2199 Main St, Oakley, CA 94561-3303 | 2016-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720565609 | Andrehina Salinas | Psychologist | 501 Norcross Ln, Oakley, CA 94561 | 2018-07-24 |
1629375514 | Prevailing Winds International | Community/Behavioral Health | 6327 Bethel Island, Ste A 1011, Bethel Island, CA 94561 | 2011-02-11 |
1851698781 | Elizabeth Phillips | Social Worker | 1506 Yosemite Circle, Oakley, CA 94561 | 2011-02-11 |
1093831539 | Richard John Dare | Dentist | 2571 Main St, Oakley, CA 94561 | 2007-03-22 |
1447380357 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 92 Lozoya Way, Oakley, CA 94561 | 2007-03-07 |
1184779779 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 385 Hill Ave, Oakley, CA 94561 | 2007-01-24 |
1821151846 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 1325 Yosemite Circle, Oakley, CA 94561 | 2006-12-19 |
1467515064 | New Way Services Inc | Intermediate Care Facility, Mentally Retarded | 606 Glacier Way, Oakley, CA 94561 | 2006-12-18 |
1205912169 | Rick D Junnila | Chiropractor | 5351 Neroly Rd., Ste. B, Oakley, CA 94561 | 2006-10-31 |
1699795237 | Lourdes De La Cruz | Pediatrics | 3090 Frandoras Circle, Oakley, CA 94561 | 2006-07-19 |
Find all providers in zip 94561 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
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---|---|---|---|---|
1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
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.