SANDEEP KAUR MANN


Address: 3384 Amy Dr, Corona, CA 92882-8794
Phone: 1209534795

SANDEEP KAUR MANN (NPI# 1871091173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871091173
Entity Type Individual
Full Name SANDEEP KAUR MANN
Credential RDHAP
Practice Address 3384 Amy Dr
Corona
CA 92882-8794
Practice Telephone 1209534795
Practice Fax Number 2095347959
Mailing Telephone 2095347959
Enumeration Date 2018-02-01
Last Update Date 2018-02-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 125J00000X Dental Therapist HAP674 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RDHAP HAP674 01

Other Providers SANDEEP MANN

NPI Name Taxonomy Address Enumeration
1033671672 Sandeep Singh Mann Student in an Organized Health Care Education/Training Program 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 2019-04-02
1891776761 Sandeep Mann Internal Medicine 810 New Burton Rd Ste 3, Dover, DE 19904-5488 2005-11-08

Office Location

Street Address 3384 AMY DR
City CORONA
State CA
Zip Code 92882-8794

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1477060499 Shilpy Kanda Physician Assistant 2250 S Main St Ste 107, Corona, CA 92882 2017-12-29
1831616333 Cindy Ruiz Behavioral Analyst 2868 Briarhaven Ln, Corona, CA 92882 2017-08-24
1366965667 3 Vest Medical Transportation Wc LLC Non-emergency Medical Transport (VAN) 3256 Rural Lane, Corona, CA 92882 2017-07-19
1477073468 Adrian Macias I Counselor 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 2017-06-21
1699205286 Sylvia Barrow Counselor 2275 South Main Street Suite 201, Corona, CA 92882 2017-06-15
1417348574 Pensar Medical Durable Medical Equipment & Medical Supplies 1269 Pomona Rd Ste 107, Corona, CA 92882 2015-02-11
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Taxonomy Information

Taxonomy Code 125J00000X
Grouping Dental Providers
Classification Dental Therapist

Taxonomy Definition

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114497054 Trisha-ann Thomas Dental Therapist 1880 Hanford Dr, San Diego, CA 92111-6736 2018-12-04
1053767137 Laura Kirkland Dental Therapist 984 Monument Drive, 207, Pacific Palisades, CA 90272 2016-05-09
1649625740 Vijay M Gabbita Sr. Dental Therapist 10513 Zenor Ln Unit 34, San Diego, CA 92127-6810 2016-04-27

Competitor

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City CORONA
Zip Code 92882

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Dataset Information

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.

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