WESTERN DENTAL SERVICES, INC. (NPI# 1548876162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548876162 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
7046 Broadway Lemon Grove CA 91945-1406 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 6192944696 |
| Practice Fax Number | 6192944695 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145716445 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | PREET TAKKAR (CHIEF INFORMATION OFFICER) |
| Authorized Official Telephone | 7145713372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G86209 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| Street Address |
7046 BROADWAY |
| City | LEMON GROVE |
| State | CA |
| Zip Code | 91945-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347759 | Myisha Michelle Holloway-griffin | Counselor | 2409 Skyline Dr, Lemon Grove, CA 91945 | 2020-02-10 |
| 1831737626 | Jennifer Murillo | Counselor | 2049 Skyline Dr. Lemon Grove Ca, 91945, Lemon Grove, CA 91945 | 2019-12-12 |
| 1487193140 | Golden State Nem Transportation.llc | Non-emergency Medical Transport (VAN) | 7107 Broadway Unit 158, Lemon Grove, CALIFORNIA 91945 | 2017-02-14 |
| 1700323581 | Juuni Transportation | Non-emergency Medical Transport (VAN) | 7138 Westview Pl #a, Lemon Grove, CA 91945 | 2017-01-31 |
| 1568815249 | Danyelle Goldstein | Substance Abuse Rehabilitation Facility | 2049 Sklyline Dr, Lemon Grove, CA 91945 | 2016-07-19 |
| 1942550397 | Debora L Stolz | Case Manager/Care Coordinator | 3434 Lemon Grove St, Lemon Grove, CA 91945 | 2012-09-13 |
| 1336449321 | Leslie Ann Warner | Counselor | 7526 Mt. Vernon St, Lemon Grove, CA 91945 | 2010-10-25 |
| 1013235126 | Mcalister Institute | Case Management | 2049 Skyline Drive, Lemon Grove, CA 91945 | 2010-05-13 |
| 1639389554 | Jarbou & Jarbou, Inc | Secured Medical Transport (VAN) | 6975 North Ave, Lemon Grove, CA 91945 | 2007-05-22 |
| 1275656555 | Amy L Stewart | Physical Therapist | 4171 Las Palmas Square, San Diego, CA 91945 | 2007-04-09 |
| Find all providers in zip 91945 | ||||
| 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 |
|---|---|---|---|---|
| 1427253202 | Anh N Tran | Dentist | 6965 Broadway, Lemon Grove, CA 91945-1405 | 2007-06-20 |
| 1821427766 | Tina Yazdi | Dentist | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2013-11-01 |
| 1942540943 | Raygada & Rabanal Dds Inc. | Dentist | 7733 Palm St Ste 107, Lemon Grove, CA 91945-2967 | 2013-02-27 |
| 1700180825 | Stephanie Ann Pura Abarte | Dentist | 7967 Broadway, Lemon Grove, CA 91945-1809 | 2011-01-04 |
| 1326151135 | Richard Orlo Cavallaro | Dentist | 8100 Broadway, Lemon Grove, CA 91945 | 2006-08-16 |
| 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 | ||||
| City | LEMON GROVE |
| Zip Code | 91945 |
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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.