EGER KOROLEVSKY (NPI# 1053711192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053711192 |
| Entity Type | Individual |
| Full Name | EGER KOROLEVSKY |
| Credential | DDS |
| Practice Address |
10928 Trinity Pkwy Stockton CA 95219-7230 |
| Practice Telephone | 4086594680 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
63922 | CA | Dental Providers |
| Street Address |
10928 TRINITY PKWY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134214919 | Ghazal and Stromberg Dental Corporation | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2006-10-04 |
| 1730791815 | Iryna A. Mysnyk | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2020-08-19 |
| 1811507544 | Blake Yuanxing Wang | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2020-08-06 |
| 1982182523 | Rhutvi Ganpatrai Virani | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2018-08-06 |
| 1487146569 | Jeremy Jacobs May, Dds, Inc. | Clinic/Center | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2018-06-04 |
| 1376034587 | Jeremy Jacobs May, Dds, Inc. | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2018-05-23 |
| 1477916336 | Christopher Beninati | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2016-03-29 |
| 1649656299 | Pamela Han | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2015-08-06 |
| 1427432756 | Bryant Woo Lee | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2015-07-16 |
| 1770922429 | Rami M Saqa | Dentist | 10928 Trinity Pkwy, Stockton, CA 95219-7230 | 2013-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
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| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932209723 | Loc Tran | Dentist | 3427 Deer Park Drive, Suite A, Stockton, CA 95219 | 2006-09-22 |
| 1366427122 | Dwayne Nash | Dentist | 5345 N El Dorado St, Suite 1, Stockton, CA 95207-5872 | 2005-12-14 |
| 1033243423 | Thomas E Bianchi | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2007-03-15 |
| 1083702674 | Matthew R. Stefanac | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-10-10 |
| 1689773145 | Dorene Neri | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-09-21 |
| 1447359294 | William J. Marweg | Dentist | 3427 Deer Park Dr, Suite A, Stockton, CA 95219-2355 | 2006-09-21 |
| 1770681256 | Brandon Luther Nash | Dentist | 5345 N El Dorado St, Suite 1, Stockton, CA 95207-5872 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
| 1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
| 1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
| 1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
| 1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
| 1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
| 1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
| 1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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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.