WESTERN DENTAL SERVICES, INC. (NPI# 1740476316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740476316 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
2313 N Corral Hollow Rd Tracy CA 95376-9401 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 2098329530 |
| Practice Fax Number | 2098329746 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | MRS. MARINA KING (PPO COORDINATOR) |
| Authorized Official Telephone | 7144803000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150- | 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 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 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 |
| Street Address |
2313 N CORRAL HOLLOW RD |
| City | TRACY |
| State | CA |
| Zip Code | 95376-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023662178 | Manabu Manandhar | Dentist | 2313 N Corral Hollow Rd, Tracy, CA 95376-9401 | 2019-07-27 |
| 1235652769 | Swetha Regatipalli | Dentist | 2313 N Corral Hollow Rd, Tracy, CA 95376-9401 | 2017-07-17 |
| 1780074468 | Milan Jinjuwadia | Dentist | 2313 N Corral Hollow Rd, Tracy, CA 95376-9401 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| 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 |
|---|---|---|---|---|
| 1922641042 | Amrit S Basi Dmd Corp | Dentist | 929 N Central Ave Ste D, Tracy, CA 95376-3965 | 2019-10-21 |
| 1578080628 | Sharanya Chola | Dentist | 2600 S Tracy Blvd Ste 170, Tracy, CA 95376-9111 | 2017-08-29 |
| 1255738787 | Jim Yu, D.d.s. Professional Dental Corporation | Dentist | 2231 W Grant Line Rd Ste 134, Tracy, CA 95377-7325 | 2014-11-26 |
| 1881878197 | Arthur N. Garbutt | Dentist | 23500 Kasson Rd., Tracy, CA 95376 | 2007-12-21 |
| 1518162825 | Jeffrey Travis Burton | Dentist | Dvi Kasson Rd., Dental Dept, Tracy, CA 95376 | 2007-06-18 |
| 1922214337 | Tracy Family Dental Center | Dentist | 945 Central Ave, Tracy, CA 95376-3950 | 2007-05-15 |
| 1003031386 | Carlos E Sanchez | Dentist | 1433 N Tracy Blvd, Tracy, CA 95376-3445 | 2007-04-13 |
| 1588786909 | Michael Richard Earle | Dentist | 929 Central Ave, Suite D, Tracy, CA 95376-3950 | 2007-04-05 |
| 1285756809 | Emil Guansing Villaroman Jr. | Dentist | 3254 N Tracy Blvd, Tracy, CA 95376-1747 | 2007-04-04 |
| 1700902863 | Lance M Matsune | Dentist | 612 W 11th St Ste 201, Tracy, CA 95376-3859 | 2007-03-21 |
| Find all providers in TRACY | ||||
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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.