COMPEAN PROFESSIONAL DENTAL CORPORATION (NPI# 1134319684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134319684 |
| Entity Type | Organization |
| Organization Name | COMPEAN PROFESSIONAL DENTAL CORPORATION |
| Other Organization Name | GLENDORA SMILES |
| Practice Address |
605 West Route 66 Glendora CA 91741 |
| Mailing Address |
2860 Michelle 2nd Floor Irvine CA 92606-1009 |
| Practice Telephone | 6267711320 |
| Practice Fax Number | 6269147538 |
| Mailing Telephone | 6267711320 |
| Mailing Fax Number | 6269147538 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |
| Authorized Official Name | DR. CARLOS G COMPEAN (OWNER) |
| Authorized Official Telephone | 6267711320 |
| 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 |
|---|---|
| GLENDORA SMILES | Doing Business As Name - Organization |
| Street Address |
605 WEST ROUTE 66 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| 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 |
|---|---|---|---|---|
| 1952718702 | Wade M Banner | Dentist | 2060 E Route 66 Ste 105, Glendora, CA 91740-4691 | 2014-07-14 |
| 1285984948 | Maria Melissa Francisco, Dds, Inc. | Dentist | 410 S Glendora Ave Ste 150, Glendora, CA 91741-6207 | 2012-09-10 |
| 1356641922 | Grace Mijin Kim | Dentist | 1770 S Barranca Ave, Glendora, CA 91740-5421 | 2010-10-28 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1386829927 | Guadalipe N Corder | Dentist | 1435 E Route 66, Suite D, Glendora, CA 91740-3748 | 2008-01-02 |
| 1306050455 | Noemi Vicente, D.d.s., Inc. | Dentist | 750 W Route 66 Ste F, Glendora, CA 91740-4163 | 2007-05-09 |
| 1083827976 | Ibrahim Irawan | Dentist | 505 E Arrow Hwy, Glendora, CA 91740-6034 | 2007-05-07 |
| 1316084155 | Daniel Eugene Norviel | Dentist | 308 W Foothill Blvd, Glendora, CA 91741-3358 | 2007-01-31 |
| 1881740199 | Scott F Tam | Dentist | 413 E Arrow Hwy, Glendora, CA 91740-5607 | 2007-01-27 |
| 1538226808 | Brandon Au | Dentist | 1814 E Route 66 Ste B, Glendora, CA 91740-3869 | 2007-01-03 |
| Find all providers in GLENDORA | ||||
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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.