SUMABAT DENTAL CORPORATION (NPI# 1033433867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033433867 |
| Entity Type | Organization |
| Organization Name | SUMABAT DENTAL CORPORATION |
| Other Organization Name | SUMABAT DENTAL AT INDIO |
| Practice Address |
43990 Golf Center Pkwy B-4 Indio CA 92203-5001 |
| Practice Telephone | 7603473767 |
| Mailing Telephone | 7603473767 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2015-09-13 |
| Authorized Official Name | DR. RAMON SUMABAT (PRESIDENT) |
| Authorized Official Telephone | 7603206230 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMABAT DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 42426 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTI-CAL | BS42426-3 | 01 |
| Other Name | Type Code |
|---|---|
| Sumabat Dental at Indio | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043303746 | Sumabat Dental Corporation | Dentist | 285 S Palm Canyon Dr, D-7, Palm Springs, CA 92262-6355 | 2006-10-02 |
| Street Address |
43990 GOLF CENTER PKWY B-4 |
| City | INDIO |
| State | CA |
| Zip Code | 92203-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902372469 | Juan Edwin Brionesgarcia | Respiratory Therapist, Registered | 82820 Mount Riley Drive, Indio, CA 92203 | 2018-10-22 |
| 1760882666 | Wal-mart Stores, Inc. | Technician/Technologist | 82-491 Avenue 42, Indio, CA 92203 | 2014-08-27 |
| 1568718849 | John R Bellinger | Psychologist | 81135 Avenida Pamplona, Indio, CA 92203 | 2012-07-24 |
| 1952666497 | Lindsay Castle | Physical Therapy Assistant | 83894 Avenida Serena, Indio, CA 92203 | 2012-07-11 |
| 1477819829 | Salvador Cuellar Hernandez | Family Medicine | 82900 Avenue 42nd Suite G-101, Indio, CA 92203 | 2012-04-10 |
| 1720299118 | Deborah Ann Urquhart | Speech-Language Pathologist | 81578 Camino El Triunfo, Indio, CA 92203 | 2007-05-25 |
| 1467672345 | Herr-kostic Medical Group Inc. | Internal Medicine | 41-120 Washington St, Suite 101, Bermuda Dunes, CA 92203 | 2007-04-26 |
| 1891828141 | Paula M Defrees | Physical Medicine & Rehabilitation | 70-078 Country Club Dr., Suite 205, Bermuda Dunes, CA 92203 | 2007-03-14 |
| 1851467344 | William Young Carlson | Physical Therapist | 79380 Bowden Drive, Bermuda Dunes, CA 92203 | 2006-11-27 |
| 1831593581 | Armando Robles | Behavioral Analyst | 47915 Oasis St, Indio, CA 92203 | 2014-10-09 |
| Find all providers in zip 92203 | ||||
| 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 |
|---|---|---|---|---|
| 1962018945 | Mattison Donaldson | Dentist | 44100 Jefferson St Ste 404, Indio, CA 92201-9014 | 2020-09-16 |
| 1699327353 | Nawar Hadid | Dentist | 81735 Ca-111, Indio, CA 92201 | 2019-07-12 |
| 1306328315 | Grant Nishimura | Dentist | 81-637, Suite 1, Ca-111, Indio, CA 92201 | 2018-09-06 |
| 1356839484 | Alexander Tran Dental Corporation | Dentist | 82151 Avenue 42 Ste 110, Indio, CA 92203-9312 | 2018-04-24 |
| 1154847234 | Myung Kee Park | Dentist | 81106 Ca-111, #c, Indio, CA 92201 | 2017-08-21 |
| 1609237056 | Arroyo-lourenco Dental Corporation | Dentist | 81800 Dr Carreon Blvd Ste D, Indio, CA 92201-0608 | 2016-03-14 |
| 1205294220 | Mejia Dental Corporation | Dentist | 45841 Oasis St Ste 3, Indio, CA 92201-4505 | 2016-02-04 |
| 1477938231 | Sahawneh Dental Corporation | Dentist | 42250 Jackson St, Suite #102, Indio, CA 92203-9783 | 2015-07-22 |
| 1801299755 | Consumerhealth, Inc. | Dentist | 42250 Jackson St Ste 102, Indio, CA 92203-9783 | 2014-10-07 |
| 1831348705 | Mercedes Josefina Herrera | Dentist | 80545 Us Highway 111 # 3, Indio, CA 92201-6532 | 2008-09-15 |
| Find all providers in INDIO | ||||
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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.