COMMUNITY DENTAL SERVICES


Address: Building 1333, Area 13, Camp Pendleton, CA 92505
Phone: 7603850096

COMMUNITY DENTAL SERVICES (NPI# 1013080712) 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) 1013080712
Entity Type Organization
Organization Name COMMUNITY DENTAL SERVICES
Other Organization Name SMILECARE DENTAL GROUP
Practice Address Building 1333
Area 13
Camp Pendleton
CA 92505
Mailing Address 2 Macarthur Pl
Suite 700
Santa Ana
CA 92707-5924
Practice Telephone 7603850096
Practice Fax Number 7603854185
Mailing Telephone 7147085308
Mailing Fax Number 7147085399
Enumeration Date 2006-11-17
Last Update Date 2020-08-22
Authorized Official Name MRS. ELAINE SALCIDO (CONTRACT SUPERVISOR)
Authorized Official Telephone 7147085308
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
SmileCare Dental Group Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730414954 Community Dental Services Dentist 12171 Central Ave, Chino, CA 91710-2421 2009-10-06
1144379785 Community Dental Services Dentist 2 Macarthur Place, Santa Ana, CA 92707 2007-01-10
1326112558 Community Dental Services Dentist 12125 Day St, Bldg N Suite 211, Moreno Valley, CA 92557-6702 2006-11-20
1356415582 Community Dental Services Dentist 9130 Alcosta Blvd, San Ramon, CA 94583-3849 2006-11-20
1699849851 Community Dental Services Dentist 10331 Sepulveda Blvd, Mission Hills, CA 91345-2421 2006-11-20
1386716082 Community Dental Services Dentist 36416 Fremont Blvd, Fremont, CA 94536-7436 2006-11-15
1699847319 Community Dental Services Dentist 520 N El Dorado St, Stockton, CA 95202-1906 2006-11-15
1164594768 Community Dental Services Dentist 40620 Winchester Rd, Suite B, Temecula, CA 92591-5504 2006-11-15
1407928195 Community Dental Services Dentist 22421 Hesperian Blvd, Hayward, CA 94541-7010 2006-11-15
1649342221 Community Dental Services Dentist 5657 E Kings Canyon Rd, Suite 107, Fresno, CA 93727-4653 2006-11-15

Office Location

Street Address BUILDING 1333
AREA 13
City CAMP PENDLETON
State CA
Zip Code 92505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205458460 Mark Anthony Vargas Behavioral Analyst 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 2020-05-11
1568099976 Victoria Lee Student in an Organized Health Care Education/Training Program Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 2020-03-25
1588222087 A Homecare Services, Inc In Home Supportive Care 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 2019-05-31
1609302397 Tap Pharmacy, Inc. Pharmacy 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 2017-05-02
1467998658 Onofre Gascon Behavior Technician 11711 Collett Ave, #1614, Riverside, CA 92505 2017-01-11
1780038505 Nash David Martinez Emergency Medicine 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 2016-04-18
1447639901 Jose Joel Manalese Dds Inc Dentist 3950 Pierce St., Suite L., Riverside, CA 92505 2015-05-29
1821493230 Jean Huynh Physician Assistant 11725 State Ave., Suite 100, Riverside, CA 92505 2014-10-28
1003160649 Elaf Farahat Dietitian, Registered 10800 Magnolia Avenue., Riverside, CA 92505 2012-11-05
1730458217 Tammy Lynn Gilmore Non-emergency Medical Transport (VAN) 10770 Hole Avenue, 106, Riverside, CA 92505 2011-12-29
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811410301 Ricardo J Wassmer Iv Dentist Po Box 555221, Camp Pendleton, CA 92055-5221 2017-07-17
1063932937 Mason L Segura Dentist 13th St. At D St., Bldg 1377, Camp Pendleton, CA 92055 2017-06-22
1689121261 Kyle Livengood Dentist 200 Mercy Circle, Box 555191, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 2016-09-01
1083160741 Joshua Daniel Evans Dentist 14th Street, 13 Adc Bldg. 13128, Camp Pendleton, CA 92055 2016-08-31
1366818965 Chase Talbot Dentist Building 2238, Box #555221, 1st Dental Battalion/ Naval Dental Center, Camp Pendleton, CA 92055-5221 2015-08-18
1326456575 John Holliday Dentist 200 Mercy Cir., Camp Pendleton, CA 92055-5191 2014-07-31
1831526375 Eric Appelsies Dentist 13128 14th Street, Camp Pendleton, CA 92055-5221 2013-09-30
1952655375 Brooke Terry Ahlstrom Dentist H100 Santa Margarita Road Attention: Code 00qm, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 2012-11-07
1235492000 Brendan Eghtedar Dentist 555020 Bldg, #1377, Camp Pendleton, CA 92055-5020 2012-06-18
1275804692 Yamel A Ramirez Dentist 13 Area Dental Clinic, 1st Dental Battalion/naval Dental Center, Camp Pendleton, CA 92055-5221 2012-01-17
Find all providers in CAMP PENDLETON

Competitor

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City CAMP PENDLETON
Zip Code 92505

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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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