PETROVA DENTAL CORPORATION (NPI# 1568987915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568987915 |
| Entity Type | Organization |
| Organization Name | PETROVA DENTAL CORPORATION |
| Other Organization Name | HEALTH & BEAUTY DENTAL CENTER |
| Practice Address |
997 W San Marcos Blvd Ste 106 San Marcos CA 92078-1136 |
| Practice Telephone | (760) 761-0905 |
| Practice Fax Number | 7607610906 |
| Mailing Telephone | 7607610905 |
| Mailing Fax Number | 7607610906 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | DR. NATALIA PETROVA (DENTIST) |
| Authorized Official Telephone | 7607610905 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
52100 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PPO | 52100 | 01 |
| Other Name | Type Code |
|---|---|
| Health & Beauty Dental Center | Doing Business As Name - Organization |
| Street Address |
997 W SAN MARCOS BLVD STE 106 |
| City | SAN MARCOS |
| State | CA |
| Zip Code | 92078-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
| 1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
| 1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
| 1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
| 1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
| 1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
| 1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
| 1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
| Find all providers in zip 92078 | ||||
| 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 |
|---|---|---|---|---|
| 1720602923 | Rsvm Jackson Pllc | Dentist | 1101 Thorpe Ln Ste 101, San Marcos, TX 78666-7139 | 2020-06-03 |
| 1194381251 | Babak Shahrokh Dmd Inc | Dentist | 365 S Rancho Santa Fe Rd Ste 105, San Marcos, CA 92078-2338 | 2019-05-14 |
| 1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
| 1386173458 | Travis John Quintanilla | Dentist | 200 Springtown Way Ste 108, San Marcos, TX 78666-7142 | 2017-06-12 |
| 1366705030 | John C. Nosti Dental Corporation | Dentist | 145 S Las Posas Rd, Suite 162, San Marcos, CA 92078-2419 | 2012-06-19 |
| 1912202342 | Quang Le and Vinh Le Dental Corporation | Dentist | 727 W San Marcos Blvd Ste 111, San Marcos, CA 92078-1244 | 2011-01-15 |
| 1851601801 | Parminder Kaur | Dentist | 2762 Dove Tail Dr, San Marcos, CA 92078-0931 | 2010-10-08 |
| 1295056984 | Fratt Dental Corporation | Dentist | 752 S Rancho Santa Fe Rd, San Marcos, CA 92078-3935 | 2010-06-16 |
| 1467787713 | Kathryn A Dardis | Dentist | 838 Nordahl Rd Ste 145, San Marcos, CA 92069-3513 | 2009-10-05 |
| 1952549008 | De Luna Dental Corporation | Dentist | 3643 Grand Ave Ste D, San Marcos, CA 92078-2336 | 2009-01-28 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 92078 |
Please comment or provide details below to improve the information on PETROVA DENTAL CORPORATION.
| 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.