SAHAWNEH DENTAL CORPORATION (NPI# 1104200245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104200245 |
| Entity Type | Organization |
| Organization Name | SAHAWNEH DENTAL CORPORATION |
| Other Organization Name | BRIGHT NOW DENTAL - LA QUINTA |
| Practice Address |
79255 Highway 111 Suite 1a & 1b La Quinta CA 92253-8301 |
| Mailing Address |
100 Spectrum Center Dr Ste 100 Irvine CA 92618-4962 |
| Practice Telephone | 7607711200 |
| Practice Fax Number | 7605646370 |
| Mailing Telephone | 7145786358 |
| Mailing Fax Number | 9498619868 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | DR. SHOROUQ SAHAWNEH (OWNER DENTIST) |
| Authorized Official Telephone | 7145786358 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | SAHAWNEH DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 55643 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bright Now Dental - La Quinta | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1609251248 | Sahawneh Dental Corporation | Dentist | 43456 10th St W, Lancaster, CA 93534-6004 | 2015-07-24 |
| 1588049126 | Sahawneh Dental Corporation | Dentist | 19361 Saticoy St Ste A, Reseda, CA 91335-2360 | 2015-07-24 |
| 1003291642 | Sahawneh Dental Corporation | Dentist | 1400 W West Covina Pkwy, West Covina, CA 91790-2731 | 2015-07-24 |
| 1477938231 | Sahawneh Dental Corporation | Dentist | 42250 Jackson St, Suite #102, Indio, CA 92203-9783 | 2015-07-22 |
| 1073998845 | Sahawneh Dental Corporation | Dentist | 1286b Auto Park Way, Escondido, CA 92029-2232 | 2015-07-22 |
| 1740665504 | Sahawneh Dental Corporation | Dentist | 17003 Bear Valley Rd, Suite D, Hesperia, CA 92345-1419 | 2015-07-22 |
| 1497139521 | Sahawneh Dental Corporation | Dentist | 6840 Eastern Ave, Ste A, Bell Gardens, CA 90201-3902 | 2015-07-18 |
| 1285018325 | Sahawneh Dental Corporation | Dentist | 12052 Imperial Hwy, Suite 101, Norwalk, CA 90650-3090 | 2015-07-18 |
| 1013391143 | Sahawneh Dental Corporation | Dentist | 12636 Limonite Ave, Suites 1a & 1b, Eastvale, CA 92880-4200 | 2015-07-18 |
| Street Address |
79255 HIGHWAY 111 SUITE 1A & 1B |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-8301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174647796 | Marvin A Prescott | Dentist | 79255 Highway 111, 1a, La Quinta, CA 92253-8301 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| 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 |
|---|---|---|---|---|
| 1275195398 | Daoshun Zhou | Dentist | 46660 Washington St Ste 10, La Quinta, CA 92253-2451 | 2019-06-28 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1972895977 | Waleed Alhassan | Dentist | 48120 Via Hermosa, La Quinta, CA 92253-2227 | 2011-05-09 |
| 1609182096 | Dezireh Sevanesian | Dentist | 79719 Parkway Esplanade S, La Quinta, CA 92253-4090 | 2010-08-24 |
| 1699931394 | Nash Sourial | Dentist | 79845 Highway 111, Suite 101, La Quinta, CA 92253-4758 | 2008-08-01 |
| 1568662021 | Joseph Rehak | Dentist | 79255 Highway 111 Ste 1a, La Quinta, CA 92253-2060 | 2007-07-23 |
| 1174613566 | Jaime Rojas | Dentist | 78640 Highway 111, La Quinta, CA 92253-2048 | 2006-10-13 |
| 1487749214 | Armen Karimyan | Dentist | 78138 Calle Tampico, Suite 100, La Quinta, CA 92253-2920 | 2006-10-04 |
| 1982219804 | Sarah Anvari | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253-2084 | 2020-09-09 |
| 1609202746 | Nash Sourial Dds Inc | Dentist | 79845 Highway 111, Suite 101, La Quinta, CA 92253-4758 | 2013-09-20 |
| Find all providers in LA QUINTA | ||||
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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.