KOHLI DENTAL CORP (NPI# 1023561602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023561602 |
| Entity Type | Organization |
| Organization Name | KOHLI DENTAL CORP |
| Other Organization Name | NEWARK FAMILY DENTAL |
| Practice Address |
5910 Thornton Ave Ste D Newark CA 94560-3800 |
| Practice Telephone | 5107929885 |
| Mailing Telephone | 5107929885 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | DR. GAGANDEEP SINGH KOHLI (DENTIST) |
| Authorized Official Telephone | 5107929885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| NEWARK FAMILY DENTAL | Doing Business As Name - Organization |
| Street Address |
5910 THORNTON AVE STE D |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| 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 |
|---|---|---|---|---|
| 1699390468 | Naima Mehek Javed | Dentist | 24 Jones St Apt 509, Newark, NJ 07103-3844 | 2020-06-08 |
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1437688421 | Mid Atlantic Dental Partners Delaware 1, Pa | Dentist | 330 Christiana Medical Ctr, Newark, DE 19702-1653 | 2017-06-05 |
| 1902340169 | Rajinder Hernandez | Dentist | 35111 Newark Blvd Ste A, Newark, CA 94560-1258 | 2016-12-07 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1598166688 | Gerald Au Dds Inc | Dentist | 35378 Lake Blvd, Newark, CA 94560-1360 | 2014-09-09 |
| 1093083156 | Marling Susana Espinosa | Dentist | 56 Ferguson St Apt E1, Newark, NJ 07105-2881 | 2011-12-05 |
| 1932481637 | Nachiket Dave | Dentist | 6258 Quicksilver Ave, Newark, CA 94560-5119 | 2011-09-19 |
| 1245538495 | Estella Guo | Dentist | 47 Boston Ct, Newark, NJ 07103-3445 | 2011-03-10 |
| 1891003596 | Edwin Simon Kuipers | Dentist | 210 W Park Pl, Newark, DE 19711-4519 | 2010-09-16 |
| Find all providers in NEWARK | ||||
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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.