USHA MANTENA DENTAL CORPORATION (NPI# 1093176380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093176380 |
| Entity Type | Organization |
| Organization Name | USHA MANTENA DENTAL CORPORATION |
| Other Organization Name | VACAVILLE DENTISTRY AND ORTHODONTICS |
| Practice Address |
671 Elmira Rd Suite 130 Vacaville CA 95687-4655 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7072155259 |
| Practice Fax Number | 7074162828 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |
| Authorized Official Name | DR. USHA R MANTENA (OWNER) |
| Authorized Official Telephone | 7072155259 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Vacaville Dentistry and Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073976361 | Usha Mantena Dental Corporation | Dentist | 671 Elmira Rd Ste 130, Vacaville, CA 95687-4655 | 2016-04-04 |
| Street Address |
671 ELMIRA RD SUITE 130 |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95687-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255866968 | North Bay Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 671 Elmira Rd, Suite 120, Vacaville, CA 95687-4655 | 2017-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
| 1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
| 1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
| 1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
| 1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
| 1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
| Find all providers in zip 95687 | ||||
| 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 |
|---|---|---|---|---|
| 1326431354 | Reeves, Dds and Lavalley, Dds, A Dental Corporation | Dentist | 196 Nut Tree Pkwy, Suite A, Vacaville, CA 95687-3237 | 2015-03-16 |
| 1306246988 | Amy Yonemitsu | Dentist | 110 Nut Tree Pkwy, Vacaville, CA 95687-3251 | 2014-09-02 |
| 1740689629 | Ishaan Talwar | Dentist | 3000 Alamo Dr Ste 202, Vacaville, CA 95687-6352 | 2014-08-18 |
| 1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
| 1932488871 | Ismail Emrah Basaran | Dentist | 3000 Alamo Dr Ste 103, Vacaville, CA 95687-6345 | 2011-08-10 |
| 1861786154 | Sukhjinder Singh Dhillon | Dentist | 718 Ruby Dr, Vacaville, CA 95687-7712 | 2011-06-03 |
| 1194052084 | Emmett Todd Knipper | Dentist | 595 Buck Ave Ste K, Vacaville, CA 95688-3642 | 2009-11-12 |
| 1922267160 | Alan Marion Akers | Dentist | 2581 Nut Tree Rd Ste A, Vacaville, CA 95687-6915 | 2008-06-03 |
| 1578730305 | Tabije Dental Corp. | Dentist | 173 Butcher Rd, Vacaville, CA 95687-5693 | 2008-05-12 |
| 1013180520 | Chunkeun Choi | Dentist | 72 Peabody Rd, Vacaville, CA 95687-4727 | 2008-04-04 |
| Find all providers in VACAVILLE | ||||
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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.