YOUNG DENTAL GROUP, A PROFESSIONAL CORPORATION (NPI# 1881184547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881184547 |
| Entity Type | Organization |
| Organization Name | YOUNG DENTAL GROUP, A PROFESSIONAL CORPORATION |
| Practice Address |
181 2nd Ave Ste 575 San Mateo CA 94401-3838 |
| Practice Telephone | 6505323092 |
| Mailing Telephone | 6505323092 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | DR. CHRYSTLE CU (PRESIDENT) |
| Authorized Official Telephone | 6505323092 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 126 2nd Ave Ste 102, San Mateo, CA 944013858 | 6505795728 |
| Street Address |
181 2ND AVE STE 575 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013035930 | Genevieve Dee | Dentist | 181 2nd Ave Ste 575, San Mateo, CA 94401-3838 | 2007-03-27 |
| 1861877623 | James Warren | Dentist | 181 2nd Ave Ste 575, San Mateo, CA 94401-3838 | 2015-07-22 |
| 1356529671 | Genevieve Dee Dds | Dentist | 181 2nd Ave Ste 575, San Mateo, CA 94401-3838 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| 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 |
|---|---|---|---|---|
| 1316553431 | Eveline Junaedy-tong | Dentist | 1367 Bel Aire Rd, San Mateo, CA 94402-3616 | 2020-09-23 |
| 1720602444 | Annabel S. Koa, Dmd Inc | Dentist | 400 N San Mateo Dr Ste 2, San Mateo, CA 94401-2418 | 2020-05-29 |
| 1639644859 | Brian Lee | Dentist | 1100 Park Pl Ste 30, San Mateo, CA 94403-7106 | 2018-10-04 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1205215795 | Sonrisas Dental Health, Inc. | Dentist | 430 No. El Camino Real, San Mateo, CA 94401-3710 | 2015-05-29 |
| 1023427606 | Katarina Tu | Dentist | 730 Mariners Island Blvd, Apt 37, San Mateo, CA 94404-1553 | 2014-08-07 |
| 1700211000 | Travis David Wu | Dentist | 33 Weepingridge Ct, San Mateo, CA 94402-3731 | 2013-09-05 |
| 1497099253 | Sahar Aurangzeb | Dentist | 19 W 39th Ave, San Mateo, CA 94403-4593 | 2012-11-19 |
| 1326318197 | Theresa Nina Scopazzi | Dentist | 36 N San Mateo Dr Ste C, San Mateo, CA 94401-4523 | 2012-01-10 |
| Find all providers in SAN MATEO | ||||
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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.