POOLER DENTAL CORPORATION (NPI# 1164607792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164607792 |
| Entity Type | Organization |
| Organization Name | POOLER DENTAL CORPORATION |
| Practice Address |
66 San Pedro Rd Ste B Daly City CA 94014-2577 |
| Practice Telephone | 6507566968 |
| Practice Fax Number | 6507569271 |
| Mailing Telephone | 6507566968 |
| Mailing Fax Number | 6507569271 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | DIANE MARIE POOLER (DENTIST) |
| Authorized Official Telephone | 6507566968 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
35647 | CA | Ambulatory Health Care Facilities |
| Street Address |
66 SAN PEDRO RD STE B |
| City | DALY CITY |
| State | CA |
| Zip Code | 94014-2577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548345176 | Hema Pombra | Dentist | 66 San Pedro Rd Ste B, Daly City, CA 94014-2577 | 2006-10-25 |
| 1700059847 | Saba Dental Group Inc. | Dentist | 66 San Pedro Rd Ste B, Daly City, CA 94014-2577 | 2008-04-09 |
| 1639297609 | Belva Dental | Dentist | 66 San Pedro Rd Ste B, Daly City, CA 94014-2577 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644073 | Abl Health Care, LLC | Registered Nurse | 6150 Mission Street, #103, Daly City, CA 94014 | 2017-08-11 |
| 1285972422 | My Tu Duong Pang | Dietitian, Registered | 2001 Junipero Serra Blvd Ste 100, Daly City, CA 94014 | 2013-01-23 |
| 1821341934 | Meta Indrajanti Darmawan | Dentist | 6273 Mission St #200, Daly City, CA 94014 | 2012-10-26 |
| 1174828792 | Yahaira Cruz Ortega | Counselor | 9 Cypress Ct, Daly City, CA 94014 | 2011-01-12 |
| 1548574189 | Sas Global LLC | Non-emergency Medical Transport (VAN) | 66 San Pedro Road, Suite C2, Daly City, CA 94014 | 2010-08-05 |
| 1083943955 | Dorie Paniza | Physical Therapist | 171a School St., Daly City, CA 94014 | 2009-12-23 |
| 1700074853 | Gaurav Abbi | Orthopaedic Surgery | 2171 Junipero Serra Blvd Ste 388, Daly City, CA 94014 | 2007-10-12 |
| 1619176252 | Gracia Cua | Dentist | 2171 Junipero Serra Blvd, Suite 110, Daly City, CA 94014 | 2007-07-13 |
| 1740489624 | Kelvin Tan | Dentist | 220 First Ave, Daly City, CA 94014 | 2007-07-12 |
| 1952446098 | Suzette M. Villanueva | Dentist | 7621 El Camino Real, Colma, CA 94014 | 2007-02-20 |
| Find all providers in zip 94014 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805463 | Conley Dental Corporation | Clinic/Center | 901 Campus Dr Ste 304, Daly City, CA 94015-4930 | 2018-09-21 |
| 1811480494 | M. Almajdalani Dds Inc. | Clinic/Center | 320 Washington St Apt 105, Daly City, CA 94015-1972 | 2018-06-08 |
| 1710426226 | William Ong and Associates Dds Inc | Clinic/Center | 6740 Mission St, Daly City, CA 94014-2031 | 2017-02-16 |
| 1790161552 | Perpetua Madrilejo Dental Office Inc. | Clinic/Center | 6273 Mission St, 200, Daly City, CA 94014 | 2015-08-04 |
| 1255616561 | Quanli Dong Dds Inc | Clinic/Center | 355 Gellert Blvd, Suite 152, Daly City, CA 94015-2665 | 2011-10-18 |
| 1740422773 | Jayson Lo, D.m.d., Inc. | Clinic/Center | 341 Westlake Ctr, Suite 301, Daly City, CA 94015-1441 | 2009-04-06 |
| 1689832669 | Maria Angara Dental Corporation | Clinic/Center | 1618 Sullivan Ave, Ste. 202, Daly City, CA 94015-1967 | 2008-05-27 |
| 1497820823 | San Mateo Medical Center | Clinic/Center | 380 90th St, Daly City, CA 94015-1807 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.