DR. NEVIN SHENOUDA ABDELMALAK (NPI# 1104273705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104273705 |
| Entity Type | Individual |
| Full Name | DR. NEVIN SHENOUDA ABDELMALAK |
| Credential | D.D.S |
| Practice Address |
508 S Harbor Blvd Fullerton CA 92832-2411 |
| Mailing Address |
2430 Greenwich Dr Fullerton CA 92833-1206 |
| Practice Telephone | 6512162175 |
| Mailing Telephone | 6512162175 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 103378 | CA | Dental Providers |
| Y | 122300000X | Dentist | D13700 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13040 Riverdale Dr Nw, #600, Coon Rapids, MN 554488406 | 7633233042 | |
| 2430 Greenwich Dr, Fullerton, CA 928331206 | 6512162175 |
| Street Address |
508 S HARBOR BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265558076 | Khoi Binh Nguyen | Dentist | 508 S Harbor Blvd, Fullerton, CA 92832-2411 | 2007-03-22 |
| 1578022323 | Dr. Frederick A. Johnson Jr Dds, Inc | Clinic/Center | 508 S Harbor Blvd, Fullerton, CA 92832-2411 | 2019-03-19 |
| 1306110051 | Winnie L. Young, D.d.s., Inc | Clinic/Center | 508 S Harbor Blvd, Fullerton, CA 92832-2411 | 2012-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| 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 |
|---|---|---|---|---|
| 1447803218 | Raymond Lee | Dentist | 2070 Hetebrink St, Fullerton, CA 92833-5043 | 2019-07-22 |
| 1093283855 | Mehdi Moradiseresht | Dentist | 2949 Brea Blvd # A-1, Fullerton, CA 92835-2073 | 2018-11-08 |
| 1528545407 | Amina J Chaudhry Dds Inc | Dentist | 220 Laguna Rd Ste 1, Fullerton, CA 92835-2523 | 2018-07-24 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1356876452 | Nguyen, Ghorbanian | Dentist | 3153 Yorba Linda Blvd, Fullerton, CA 92831-2307 | 2017-04-26 |
| 1619368776 | Arthur Abordo | Dentist | 726 Tangerine Way, Fullerton, CA 92832-2600 | 2015-02-11 |
| 1114318383 | David Tae Hun Kim | Dentist | 736 Tangelo Way, Fullerton, CA 92832-2630 | 2015-02-10 |
| 1669874863 | Kirk Larson | Dentist | 3261 N Harbor Blvd, Suite A, Fullerton, CA 92835-1740 | 2014-09-18 |
| 1922408228 | Western Dental Services, Inc. | Dentist | 1620 S Harbor Blvd, Suite A, Fullerton, CA 92832-3473 | 2014-08-25 |
| 1407273592 | Anjana A.patel,dds.,inc | Dentist | 2359 Skyline Dr, Fullerton, CA 92831-1127 | 2014-03-26 |
| Find all providers in FULLERTON | ||||
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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.