BENNETT DENTAL CORPORATION (NPI# 1912516998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912516998 |
| Entity Type | Organization |
| Organization Name | BENNETT DENTAL CORPORATION |
| Practice Address |
5876 Owens Ave Ste 150 Carlsbad CA 92008-5530 |
| Mailing Address |
9474 Kearny Villa Rd Ste 102 San Diego CA 92126-4596 |
| Practice Telephone | 6194945091 |
| Practice Fax Number | 6198810408 |
| Mailing Telephone | 6194945091 |
| Mailing Fax Number | 6198810408 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | CHASE ALAN BENNETT (PRESIDENT) |
| Authorized Official Telephone | 9186383102 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENNETT DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Apnea & Breathing Clinic Bennett Dental Corporation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083156517 | Bennett Dental Corporation | Dentist | 9474 Kearny Villa Rd Ste 102, San Diego, CA 92126-4596 | 2016-11-15 |
| Street Address |
5876 OWENS AVE STE 150 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| 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 |
|---|---|---|---|---|
| 1295347326 | Sandya Vanathi Athigaman | Dentist | 612 N Canyon St, Carlsbad, NM 88220-5842 | 2020-08-19 |
| 1114446853 | Taylor Jon Sant | Dentist | 6990 El Camino Real Ste O, Carlsbad, CA 92009-4112 | 2017-09-13 |
| 1649648387 | John Hofer | Dentist | 5102 Whitman Way Apt 306, Carlsbad, CA 92008-4635 | 2015-09-11 |
| 1942681499 | Neil Park | Dentist | 2583 Ingleton Ave, Carlsbad, CA 92009-3060 | 2015-06-10 |
| 1073900858 | Thanh Luu and Tina Saw Dental Corp | Dentist | 7720 Rancho Santa Fe Road, Suite E, Carlsbad, CA 92009 | 2015-04-20 |
| 1902299472 | Jessica Tn Truong | Dentist | 520 Stern Way, Carlsbad, CA 92011 | 2015-03-09 |
| 1164839809 | Nardine Hana Wassef | Dentist | 2620 El Camino Real Ste A, Carlsbad, CA 92008-1255 | 2014-07-15 |
| 1518396571 | Gregory Staffon | Dentist | 2815 Jefferson St., #300, Carlsbad, CA 92008 | 2013-11-10 |
| 1144655812 | Thanh Trung Luu | Dentist | 7720 Rancho Santa Fe Rd, #225, Carlsbad, CA 92009-8685 | 2013-09-12 |
| 1447698626 | Megan A Shelton | Dentist | 3144 El Caminio Real, Ste. 103, Carlsbad, CA 92008 | 2013-06-10 |
| Find all providers in CARLSBAD | ||||
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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.