NGUYEN LY NGUY DENTAL CORP (NPI# 1790258556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790258556 |
| Entity Type | Organization |
| Organization Name | NGUYEN LY NGUY DENTAL CORP |
| Other Organization Name | WEST CORONA DENTISTRY |
| Practice Address |
4264 Green River Rd Suite 102 Corona CA 92880 |
| Practice Telephone | 9513400200 |
| Practice Fax Number | 9512789858 |
| Mailing Telephone | 9513400200 |
| Mailing Fax Number | 9512789858 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | TUAN LY (OWNER/PARTNER) |
| Authorized Official Telephone | 9513400200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST CORONA DENTISTRY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| West Corona Dentistry | Doing Business As Name - Organization |
| Street Address |
4264 GREEN RIVER RD SUITE 102 |
| City | CORONA |
| State | CA |
| Zip Code | 92880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497964514 | Mitra Bolbolan Macmillan | Dentist | 4264 Green River Rd, Corona, CA 92880-1669 | 2007-05-22 |
| 1538548169 | Singhal Dental Inc | Point of Service | 4264 Green River Rd, Suite # 102, Corona, CA 92880-1632 | 2015-05-28 |
| 1952663676 | Eikerbee, Inc | Pharmacy | 4264 Green River Rd, Suite 101, Corona, CA 92880-1632 | 2012-06-08 |
| 1790931046 | Dental Health Corona | Dentist | 4264 Green River Rd, Corona, CA 92880-1632 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011799 | Jordan Chelsey Douglas | Dentist | 460 N Mckinley St, Corona, CA 92879-3405 | 2020-10-23 |
| 1003423286 | Radhika Makadia | Dentist | 8387 Butterfly Bush Ct, Corona, CA 92883-4936 | 2020-09-30 |
| 1225646706 | Shweta Jain | Dentist | 3460 Summitpointe Cir, Corona, CA 92881-8354 | 2020-07-21 |
| 1730797614 | Brittany Sharleen Watu | Dentist | 916 W. Sixth Street, Corona, CA 92882-3239 | 2020-07-16 |
| 1144868373 | Jacqueline Astrid Marquez | Dentist | 1312 E Ontario Ave Ste 102, Corona, CA 92881-6645 | 2019-12-18 |
| 1447715743 | J Chun Dental Corp | Dentist | 1112 W 6th St Ste 105, Corona, CA 92882-3137 | 2019-01-31 |
| 1831614213 | Sam S Park | Dentist | 1222 Magnolia Ave Ste 101, Corona, CA 92881-2075 | 2017-08-07 |
| 1609322155 | Abhishek Joshi Dds,inc. | Dentist | 12738 Longhorne Dr, Corona, CA 92880-8839 | 2016-08-25 |
| 1932559713 | Wonjoon Lee | Dentist | 3283 Quartz Cir, Corona, CA 92882-6096 | 2016-06-13 |
| 1124476254 | Bhavik Bhakta | Dentist | 770 Magnolia Ave Ste 1a, Corona, CA 92879-3121 | 2016-05-31 |
| Find all providers in CORONA | ||||
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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.