LLANELL VARARAJ DENTAL INC (NPI# 1760036305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760036305 |
| Entity Type | Organization |
| Organization Name | LLANELL VARARAJ DENTAL INC |
| Practice Address |
102 South Walnut Avenue Rippon CA 95366 |
| Practice Telephone | 2095994176 |
| Practice Fax Number | 2095994178 |
| Mailing Telephone | 2095994176 |
| Mailing Fax Number | 2095994178 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | DR. LLANELL VARARAJ (DENTIST) |
| Authorized Official Telephone | 2095994176 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ivory Dental Clinic | Doing Business As Name - Organization |
| Street Address |
102 SOUTH WALNUT AVENUE |
| City | RIPPON |
| State | CA |
| Zip Code | 95366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1003322199 | Janice Huggins Valdez | Counselor | 903 Sixth St, Ripon, CA 95366 | 2017-12-27 |
| 1154590479 | Aaron D Long | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-02-21 |
| 1598800484 | Save Mart Supermarkets | Pharmacy | 1453 Goodwin Dr, Ripon, CA 95366 | 2007-02-20 |
| 1922250158 | Bhrs | Community/Behavioral Health | 1550 W Main St, Ripon, CA 95366 | 2008-10-21 |
| 1144478801 | Kenneth D Bowman | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-09-05 |
| 1598934812 | Travis L Wolf | Physician Assistant | 150 Vera Ave, Ripon, CA 95366 | 2008-02-21 |
| 1497198618 | Linda Vermeulen | Counselor | 1271 Spring Creek Dr, Ripon, CA 95366-2231 | 2013-04-08 |
| 1285247445 | Donald Vertrees | Physician Assistant | 904 Opal Ln, Ripon, CA 95366-2256 | 2020-08-27 |
| 1487648135 | Bethany Home Society of San Joaquin County, Inc. | Skilled Nursing Facility | 930 W Main St, Ripon, CA 95366-2325 | 2005-09-08 |
| Find all providers in zip 95366 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| 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.