WATANABE DENTAL CORPORATION (NPI# 1831298256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831298256 |
| Entity Type | Organization |
| Organization Name | WATANABE DENTAL CORPORATION |
| Other Organization Name | MURRIETA DENTAL GROUP |
| Practice Address |
40770 California Oaks Rd Murrieta CA 92562-5727 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 9516773078 |
| Practice Fax Number | 9516000498 |
| Mailing Telephone | 7145083600 |
| Mailing Fax Number | 7143682092 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | DR. BRYAN K WATANABE (OWNER DDS) |
| Authorized Official Telephone | 9516773078 |
| 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 |
| Other Name | Type Code |
|---|---|
| MURRIETA DENTAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821182601 | Watanabe Dental Corporation | Dentist | 25395 Madison Ave, Ste. 103, Murrieta, CA 92562-9003 | 2006-10-03 |
| Street Address |
40770 CALIFORNIA OAKS RD |
| City | MURRIETA |
| State | CA |
| Zip Code | 92562-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497863534 | Bobby Soleiman | Dentist | 40770 California Oaks Rd, Murrieta, CA 92562-5727 | 2006-08-28 |
| 1265861801 | George Ibrahim | Dentist | 40770 California Oaks Rd, Murrieta, CA 92562-5794 | 2013-11-04 |
| 1801144803 | Stephanie Frowe Walker | Dentist | 40770 California Oaks Rd, Murrieta, CA 92562-5794 | 2012-08-22 |
| 1558679431 | Mi Jung Jin | Dentist | 40770 California Oaks Rd, Murrieta, CA 92562-5794 | 2010-09-14 |
| 1548379670 | Nicholas Zaw | Dentist | 40770 California Oaks Rd, Murrieta, CA 92562-5727 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709591 | Brittney Schmidt | Behavior Technician | 25109 Hancock Avenue Suite C, Murrieta, CA 92562 | 2020-08-06 |
| 1518431410 | Heather Marie Halper | Behavioral Analyst | 25190 Handcock Ave, Suite C, Murrieta, CA 92562 | 2019-01-14 |
| 1164992798 | Tiffany L Lockhart | Counselor | 41780 Mcalby Ct, Murrieta, CA 92562 | 2018-11-27 |
| 1164992756 | Jessica Gutierrez | Specialist/Technologist | 25102 Jefferson Ave Suite D, Murrieta, CA 92562 | 2018-11-27 |
| 1972080455 | Tracy M Bronson | Nurse Practitioner | 23811 Washington Ave Ste C110, #203, Murrieta, CA 92562 | 2018-07-26 |
| 1023500279 | Brittany Marie Ramirez | Counselor | 23824 Matador Way, Murrieta, CA 92562 | 2018-06-04 |
| 1053800573 | Emily Kathryn Perrott | Physical Therapist | 24630 Washington Ave Ste 200, Murrieta, CA 92562 | 2018-05-10 |
| 1285151464 | Dexter Villanueva | Physical Therapist | 40845 Engelmann Oak St., Murrieta, CA 92562 | 2017-08-28 |
| 1407371024 | Elyaszadeh Levi Dental Corporation | Dentist | 40643 California Oaks Rd, Murrieta, CA 92562 | 2017-08-04 |
| 1023549037 | Andre Cristian De Jesus | Nurse Practitioner | 24640 Jefferson Ave Ste 208, Murrieta, CA 92562 | 2017-03-22 |
| Find all providers in zip 92562 | ||||
| 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 |
|---|---|---|---|---|
| 1295291516 | Russel Rovira Nolasco | Dentist | 41410 Juniper St Unit 3012, Murrieta, CA 92562-7516 | 2019-02-11 |
| 1609382605 | G.olague, Dds & R. Deza Dds Apc | Dentist | 25359 Madison Ave Ste 105-106, Murrieta, CA 92562-9090 | 2017-12-28 |
| 1295244028 | M K Awwad Dds Inc | Dentist | 33050 Antelope Rd Ste 207, Murrieta, CA 92563-2491 | 2017-09-25 |
| 1417466574 | Minh Duc Tran | Dentist | 40680 Walsh Center Dr Apt 234, Murrieta, CA 92562-8584 | 2017-09-21 |
| 1982084596 | Akkari Dental Corp | Dentist | 39755 Murrieta Hot Springs Rd Ste D150, Murrieta, CA 92563-9112 | 2015-06-09 |
| 1528495009 | Nicanor J. Batista Dds. Inc. | Dentist | 41539 Kalmia St., Ste 103, Murrieta, CA 92562 | 2013-09-30 |
| 1558607424 | Huey Tran Dds, Inc. | Dentist | 39400 Murrieta Hot Springs Rd Ste 123b, Murrieta, CA 92563-7709 | 2012-12-21 |
| 1598013039 | Khasati & Awwad Dental Corp. | Dentist | 33050 Antelope Rd, Suite 207, Murrieta, CA 92562 | 2012-08-15 |
| 1861713315 | Maria A Guevarra | Dentist | 29955 Technology Dr, Ste C-102, Murrieta, CA 92563-2637 | 2010-06-18 |
| 1770808743 | Gina M Willoughby | Dentist | 28090 Celia Rd, Murrieta, CA 92563-6761 | 2010-04-02 |
| Find all providers in MURRIETA | ||||
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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.