SUMILAT DDS, INC. (NPI# 1790325140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790325140 |
| Entity Type | Organization |
| Organization Name | SUMILAT DDS, INC. |
| Practice Address |
11481 Heacock St Ste 160 Moreno Valley CA 92557-7906 |
| Mailing Address |
3053 Prado Ln Colton CA 92324-9545 |
| Practice Telephone | 9098243126 |
| Mailing Telephone | 9098243126 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Authorized Official Name | JAMES SUMILAT (C.E.O.) |
| Authorized Official Telephone | 9098243126 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
11481 HEACOCK ST STE 160 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-7906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879636 | Young Sik Lim, Dds, Inc | Clinic/Center | 11481 Heacock St Ste 160, Moreno Valley, CA 92557-7906 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| 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 |
|---|---|---|---|---|
| 1720694656 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 11875 Pigeon Pass Road, Suite B9, Moreno Valley, CA 92557-6039 | 2020-09-16 |
| 1841802667 | Laila Adel Abdelrahman | Dentist | 25681 Shalu Ave, Moreno Valley, CA 92557-6614 | 2020-08-21 |
| 1245716539 | B. Deirmenjian, Dds, Inc | Dentist | 12252 Perris Blvd Ste B, Moreno Valley, CA 92557-7418 | 2018-07-19 |
| 1619404167 | Yulia Chigir | Dentist | 27110 Eucalyptus Ave Ste A, Moreno Valley, CA 92555-4542 | 2017-05-15 |
| 1831635317 | Abraham Nilton Deza Rolando | Dentist | 24561 Alessandro Blvd, Moreno Valley, CA 92553-3918 | 2017-01-09 |
| 1245623164 | Faramarz R. Boniadi Dds Inc | Dentist | 12712 Heacock St Ste 4, Moreno Valley, CA 92553-3037 | 2015-03-17 |
| 1164821906 | Fratt Dental Corpoartion | Dentist | 12761 Moreno Beach Dr, Suite 103, Moreno Valley, CA 92555-4418 | 2014-08-18 |
| 1538581806 | Ashley Leann Abrams | Dentist | 27339 Darlene Drive, Moreno Valley, CA 92555 | 2014-01-06 |
| 1821330671 | Carmen Amelia Zamora | Dentist | 12624 Memorial Way, Apt 3139, Moreno Valley, CA 92553-7543 | 2013-03-20 |
| 1659621613 | Santiago A Rojo D.d.s Inc. | Dentist | 22435 Alessandro Blvd, Suite106, Moreno Valley, CA 92553-8356 | 2012-09-17 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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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.