OC DENTAL SPECIALISTS (NPI# 1104348150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104348150 |
| Entity Type | Organization |
| Organization Name | OC DENTAL SPECIALISTS |
| Practice Address |
11702 Beach Blvd Stanton CA 90680-3609 |
| Mailing Address |
Po Box 1543 Sunset Beach CA 90742-1543 |
| Practice Telephone | 7148985600 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | THOMAS MICHAEL BOONE (DENTIST) |
| Authorized Official Telephone | 7148985600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 34661 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1285932954 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700206737 | Oc Dental Specialists | Dentist | 435 N State College Blvd, Anaheim, CA 92806-2917 | 2014-04-17 |
| Street Address |
11702 BEACH BLVD |
| City | STANTON |
| State | CA |
| Zip Code | 90680-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124042460 | Thomas Michael Boone | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2006-07-27 |
| 1215445101 | Susan Jo | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2018-01-14 |
| 1730458712 | Farzaneh Hanitabatabaei | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2011-12-21 |
| 1669701777 | Sonia Jooyoung Lee | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2009-12-18 |
| 1225239585 | Thuy T Fortier | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2007-05-31 |
| 1013118371 | Kevin J Fortier | Dentist | 11702 Beach Blvd, Stanton, CA 90680-3609 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962978429 | Mountain View Hospice | Hospice Care, Community Based | 12235 Beach Blvd., Suite 205c, Stanton, CA 90680 | 2018-10-22 |
| 1073983250 | Jennifer Van | Dental Hygienist | 10882 Cedar Street, Stanton, CA 90680 | 2015-10-01 |
| 1780097915 | Chris G Kim | Acupuncturist | 7731 Katella Ave #b, Stanton, CA 90680 | 2014-06-05 |
| 1982035069 | San Blas Medical Clinic | General Practice | 7777 Katella Avenue, Stanton, CA 90680 | 2013-11-27 |
| 1487969861 | Dean Tran, D.o., Inc | Clinic/Center | 11418 1/2 Renaissance Way, Stanton, CA 90680 | 2010-08-10 |
| 1255562229 | Ability Center | Durable Medical Equipment & Medical Supplies | 11600 Western Ave, Stanton, CA 90680 | 2009-08-07 |
| 1235369786 | Diem-trinh Maria Nguyen | Dentist | 532 E Chapman, Orange, CA 90680 | 2009-07-17 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1780750612 | Go Diagnostics Inc | Specialist/Technologist, Other | 7159 Katella Ave, Stanton, CA 90680 | 2006-11-24 |
| Find all providers in zip 90680 | ||||
| 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 |
|---|---|---|---|---|
| 1316508674 | Abdeshahian and Nguyen Dental Corporation | Dentist | 12919 Beach Blvd, Stanton, CA 90680-4001 | 2019-06-26 |
| 1992204952 | Mid Michigan Dental Implant Center, PC | Dentist | 800 N State St Ste 151, Stanton, MI 48888-9708 | 2018-02-06 |
| 1568912822 | Dr. Dennis D. Timperley | Dentist | 1001 Ivy St, Stanton, NE 68779-2341 | 2016-10-11 |
| 1447547476 | Kimberly Bao Nguyen, A Dental Corp | Dentist | 11352 1/2 Renaissance Way, Stanton, CA 90680-3391 | 2011-06-28 |
| 1932315959 | Esther L Sy | Dentist | 10468 Beach Boulevard, Stanton, CA 90680 | 2007-05-15 |
| 1639297757 | Marleen Pham | Dentist | 12520 Beach Blvd, Stanton, CA 90680-4010 | 2007-03-27 |
| 1497870299 | Welton Randolph Moore | Dentist | 1105 W Broadway, Stanton, TX 79782 | 2007-03-20 |
| 1255409694 | Minh Duc Nguyen | Dentist | 12880 Beach Blvd, Stuite Aa, Stanton, CA 90680 | 2006-12-02 |
| 1811095888 | Thuy Linh Hoang Tran | Dentist | 12099 Beach Blvd, Stanton, CA 90680 | 2006-09-21 |
| 1467563841 | Jeffrey Y Chu | Dentist | 7025 Katella Ave, Stanton, CA 90680-2804 | 2006-08-31 |
| Find all providers in STANTON | ||||
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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.