BOULEVARD DENTAL (NPI# 1568952901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568952901 |
| Entity Type | Organization |
| Organization Name | BOULEVARD DENTAL |
| Practice Address |
939 E Palmdale Blvd Palmdale CA 93550-4711 |
| Mailing Address |
937 E Palmdale Blvd Palmdale CA 93550-4711 |
| Practice Telephone | 6619377747 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Authorized Official Name | DAVID GOBRIAL (PRESIDENT) |
| Authorized Official Telephone | 8182682448 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
59655 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235386590 | Boulevard Dental | Dentist | 10149 Woodhaven Blvd, Ozone Park, NY 11416-2300 | 2008-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | BOULEVARD DENTAL CARE | Richard, 125 E 3rd St, Edmond, OK 73034 |
| Street Address |
939 E PALMDALE BLVD |
| City | PALMDALE |
| State | CA |
| Zip Code | 93550-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612118 | Well Care Hospice Inc | Hospice Care, Community Based | 1543j East Palmdale Blvd., Palmdale, CA 93550 | 2020-09-03 |
| 1922565522 | California Recuperative Care, Inc | Social Worker | 38529 6th St. East, Palmdale, CA 93550 | 2019-03-01 |
| 1649751777 | Earl Larry Hernandez | Rehabilitation Practitioner | 1609 East Palmdale Blvd Suite G, Palmdale, CA 93550 | 2018-08-27 |
| 1265940050 | Virginia Alvarez | Counselor | 3058 East Aver14, Palmdale, CA 93550 | 2018-01-16 |
| 1225553498 | Natalie Christine Ragus | Social Worker | 1529 E. Palmdale Blvd. Ste 150, Palmdale, CA 93550 | 2017-08-09 |
| 1104348770 | Purificacion Paguyo Villegas | Registered Nurse | 38350 40th St East, 2nd Floor, Palmdale, CA 93550 | 2017-07-14 |
| 1528580438 | Perla Marilyn Rodriguez | Registered Nurse | 38350 40th St East, Palmdale, CA 93550 | 2017-07-12 |
| 1992259527 | Nathalie Exconde | Counselor | 1529 East Palmdale Blvd Suite 150, Palmdale, CA 93550 | 2016-08-11 |
| 1083064604 | Sinead Diaz | Community Health Worker | 2323a East Palmdale Boulvard, Palmdale, CA 93550 | 2016-06-14 |
| 1598122293 | Sharnelle Denise Patterson | Rehabilitation Practitioner | 2010 Moonflower Ct, Palmdale, CA 93550 | 2016-01-26 |
| Find all providers in zip 93550 | ||||
| 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 |
|---|---|---|---|---|
| 1457723041 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 2140 E Palmdale Blvd, Suite A, Palmdale, CA 93550-1202 | 2015-10-22 |
| 1124416987 | Amalia S Osma Dental Corporation | Dentist | 37935 47th St E Ste A22, Palmdale, CA 93552-3268 | 2015-01-02 |
| 1376810002 | Harmik Hartounian | Dentist | 1021 W Avenue M14, Palmdale, CA 93551-1440 | 2011-11-23 |
| 1558652396 | Jeffrey A Sulitzer | Dentist | 1037 E Palmdale Blvd Ste 203, Palmdale, CA 93550-4745 | 2011-04-27 |
| 1326341371 | Sadek Dds Inc. | Dentist | 247 E Palmdale Blvd Ste B, Palmdale, CA 93550-4567 | 2010-12-14 |
| 1295965796 | Joseph R Fernandez Jr. | Dentist | 755 West Rancho Blvd, Palmdale, CA 93551 | 2009-07-17 |
| 1417199639 | Jonathan S. Won Dds Inc | Dentist | 37262 47th St E Ste 101, Palmdale, CA 93552-4482 | 2009-04-02 |
| 1508013822 | Yara Scarlette Lopez Tinoco | Dentist | 40112 170th St E Ste C, Palmdale, CA 93591-3154 | 2008-08-19 |
| 1831356054 | James D Powell Dds PC | Dentist | 41230 11th St W Ste F, Palmdale, CA 93551-1411 | 2008-05-16 |
| 1659549459 | Pejman Mokhtar | Dentist | 40008 10th Street West., Suite F, Palmdale, CA 93551 | 2008-02-14 |
| Find all providers in PALMDALE | ||||
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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.