EDWARD SALL DENTAL CORPORATION (NPI# 1053859710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053859710 |
| Entity Type | Organization |
| Organization Name | EDWARD SALL DENTAL CORPORATION |
| Other Organization Name | TODD MORGAN DENTAL CORPORATION |
| Practice Address |
5471 Kearny Villa Rd Ste 201 San Diego CA 92123-1143 |
| Practice Telephone | 8589877888 |
| Practice Fax Number | 6192996222 |
| Mailing Telephone | 8589877888 |
| Mailing Fax Number | 6192996222 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | EDWARD TRACY SALL (CEO) |
| Authorized Official Telephone | 8589877888 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA SECRETARY OF STATE | C3761211 | 01 |
| CA | DENTAL BOARD OF CALIFORNIA | 104553 | 01 |
| Other Name | Type Code |
|---|---|
| SleepAlliance, a Todd Morgan Dental Practice | Doing Business As Name - Organization |
| Todd Morgan Dental Corporation | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215487624 | Edward Sall Dental Corporation | Dentist | 488 E Valley Pkwy, Suite 105, Escondido, CA 92025-3363 | 2016-10-10 |
| Street Address |
5471 KEARNY VILLA RD STE 201 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1225659873 | I2b Networks, Inc | Durable Medical Equipment & Medical Supplies | 8830 Complex Dr, San Diego, CA 92123-1404 | 2020-05-05 |
| 1225573314 | Euro-flex Luxury Sleep Systems, Inc. | Durable Medical Equipment & Medical Supplies | 4250 Morena Blvd Ste A, San Diego, CA 92117-4335 | 2016-12-27 |
| 1104373760 | Afya Logic Inc. | Durable Medical Equipment & Medical Supplies | 9275 Sky Park Ct Ste 160, San Diego, CA 92123 | 2016-09-01 |
| 1205060423 | Metis Products, LLC | Durable Medical Equipment & Medical Supplies | 4186 Sorrento Valley Blvd, Ste. J, San Diego, CA 92121-1414 | 2009-05-04 |
| 1871735258 | Tobii Assistive Technology, Inc | Durable Medical Equipment & Medical Supplies | 11219 Moranda Ct, San Diego, CA 92128-4086 | 2009-03-31 |
| 1871745653 | Active Feet, Inc. | Durable Medical Equipment & Medical Supplies | 5490 Complex St Ste 605, San Diego, CA 92123-1126 | 2008-10-12 |
| 1427246768 | Jill Diane Thompson | Durable Medical Equipment & Medical Supplies | 17027 San Antonio Rose Ct, San Diego, CA 92127 | 2007-10-11 |
| 1821293218 | Academy Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 8940 Activity Rd, Suite K, San Diego, CA 92126-4460 | 2007-06-18 |
| 1770625857 | Active Feet, Inc. | Durable Medical Equipment & Medical Supplies | 4545 La Jolla Village Dr, #9026, San Diego, CA 92122-1241 | 2007-02-13 |
| Find all providers in SAN DIEGO | ||||
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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.