SAMUEL H. KO, DDS, INC. (NPI# 1770965535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770965535 |
| Entity Type | Organization |
| Organization Name | SAMUEL H. KO, DDS, INC. |
| Other Organization Name | APPLE TOOTH DENTAL GROUP |
| Practice Address |
12429 Mariposa Rd Suite A Victorville CA 92395-6017 |
| Practice Telephone | 7609523756 |
| Practice Fax Number | 7609521008 |
| Mailing Telephone | 7609523756 |
| Mailing Fax Number | 7609521008 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | DR. SAMUEL H. KO (PRESIDENT/DENTIST) |
| Authorized Official Telephone | 7609523756 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
40454 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Apple Tooth Dental Group | Doing Business As Name - Organization |
| Street Address |
12429 MARIPOSA RD SUITE A |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| 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 |
|---|---|---|---|---|
| 1861030272 | Kelly E. Hong, Dds, Inc. | Dentist | 12120 Ridgecrest Rd Ste 203, Victorville, CA 92395-5906 | 2019-12-16 |
| 1326698713 | Ginger Scoggins D.d.s. I.n.c. | Dentist | 13605 Bear Valley Rd Ste 105a, Victorville, CA 92392-6660 | 2019-09-17 |
| 1881248730 | Suchit Kapur | Dentist | 15667 Roy Rogers Dr Ste A-101, Victorville, CA 92394-2158 | 2019-07-30 |
| 1528529278 | Alexander Lee | Dentist | 13792 Bear Valley Rd Ste 1, Victorville, CA 92392-8713 | 2019-03-26 |
| 1477915734 | Moqattash Dental Group Corp | Dentist | 17624 Park Plaza Ct, Victorville, CA 92395-7739 | 2016-03-25 |
| 1902034432 | Rahil Deepak | Dentist | 12353 Mariposa Rd, Suite D1, Victorville, CA 92395-6000 | 2009-06-23 |
| 1982860136 | Jeff Barlow | Dentist | 12240 Hesperia Rd Ste C, Victorville, CA 92395-8309 | 2008-08-06 |
| 1356507800 | Victor Valley Community Dental Service Program | Dentist | 14357 Seventh St, Victorville, CA 92395-4209 | 2008-08-04 |
| 1528236957 | Mojave Dental Center | Dentist | 14515 Mojave Dr, Suite A2, Victorville, CA 92394-6720 | 2008-02-19 |
| 1710155155 | Leonard Fletcher | Dentist | 14495 Seventh St, Victorville, CA 92395-4233 | 2008-02-19 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on SAMUEL H. KO, DDS, INC..
| 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.