FRATT DENTAL CORPOARTION (NPI# 1164821906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164821906 |
| Entity Type | Organization |
| Organization Name | FRATT DENTAL CORPOARTION |
| Other Organization Name | BRIGHTNOW DENTAL MORENO VALLEY |
| Practice Address |
12761 Moreno Beach Dr Suite 103 Moreno Valley CA 92555-4418 |
| Practice Telephone | 9519026068 |
| Practice Fax Number | 6519244594 |
| Mailing Telephone | 9519026068 |
| Mailing Fax Number | 6519244594 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | DR. DENNIS R FRATT (PRESIDENT) |
| Authorized Official Telephone | 7144282000 |
| 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 |
|---|---|
| BRIGHTNOW DENTAL MORENO VALLEY | Doing Business As Name - Organization |
| Street Address |
12761 MORENO BEACH DR SUITE 103 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326423963 | Sahawneh Dental Corporation | Dentist | 12761 Moreno Beach Dr, Suite 103, Moreno Valley, CA 92555-4418 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| 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 |
|---|---|---|---|---|
| 1720694656 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 11875 Pigeon Pass Road, Suite B9, Moreno Valley, CA 92557-6039 | 2020-09-16 |
| 1841802667 | Laila Adel Abdelrahman | Dentist | 25681 Shalu Ave, Moreno Valley, CA 92557-6614 | 2020-08-21 |
| 1790325140 | Sumilat Dds, Inc. | Dentist | 11481 Heacock St Ste 160, Moreno Valley, CA 92557-7906 | 2020-01-14 |
| 1245716539 | B. Deirmenjian, Dds, Inc | Dentist | 12252 Perris Blvd Ste B, Moreno Valley, CA 92557-7418 | 2018-07-19 |
| 1619404167 | Yulia Chigir | Dentist | 27110 Eucalyptus Ave Ste A, Moreno Valley, CA 92555-4542 | 2017-05-15 |
| 1831635317 | Abraham Nilton Deza Rolando | Dentist | 24561 Alessandro Blvd, Moreno Valley, CA 92553-3918 | 2017-01-09 |
| 1245623164 | Faramarz R. Boniadi Dds Inc | Dentist | 12712 Heacock St Ste 4, Moreno Valley, CA 92553-3037 | 2015-03-17 |
| 1538581806 | Ashley Leann Abrams | Dentist | 27339 Darlene Drive, Moreno Valley, CA 92555 | 2014-01-06 |
| 1821330671 | Carmen Amelia Zamora | Dentist | 12624 Memorial Way, Apt 3139, Moreno Valley, CA 92553-7543 | 2013-03-20 |
| 1659621613 | Santiago A Rojo D.d.s Inc. | Dentist | 22435 Alessandro Blvd, Suite106, Moreno Valley, CA 92553-8356 | 2012-09-17 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
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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.