EZZAT DENTAL CORPORATION (NPI# 1184745531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184745531 |
| Entity Type | Organization |
| Organization Name | EZZAT DENTAL CORPORATION |
| Other Organization Name | PEDIATRIC DENTISTRY OF VALENCIA |
| Practice Address |
27450 Tourney Rd Suite 200 Valencia CA 91355 |
| Practice Telephone | 6612539009 |
| Practice Fax Number | 6612539599 |
| Mailing Telephone | 6612539009 |
| Mailing Fax Number | 6612539599 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | DR. CHRISTOPHER EZZAT (PRESIDENT) |
| Authorized Official Telephone | 6612539009 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
46181 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Pediatric Dentistry of Valencia | Doing Business As Name - Organization |
| Street Address |
27450 TOURNEY RD SUITE 200 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127143 | Saeid Razi | Dentist | 27450 Tourney Rd, Suite 260, Valencia, CA 91355-1828 | 2005-10-13 |
| 1952840100 | Chris Ezzat | Dentist | 27450 Tourney Rd, Suite 200, Valencia, CA 91355-1828 | 2017-02-21 |
| 1952775595 | James Gorman Dds Inc | Dentist | 27450 Tourney Rd, Suite 220, Valencia, CA 91355-1828 | 2015-11-19 |
| 1982070819 | Andrew A. Tran, Dds, A Professional Corporation | Dentist | 27450 Tourney Rd, Suite 130, Valencia, CA 91355-1828 | 2015-08-14 |
| 1265775654 | Gilbert Abilez Jr. | Dentist | 27450 Tourney Rd, Suite 140, Valencia, CA 91355-1828 | 2013-04-03 |
| 1548574767 | Jack Elliot Wasserstein | Dentist | 27450 Tourney Rd, Suite 100, Valencia, CA 91355-1828 | 2010-07-29 |
| 1861619892 | Bernard Chang | Dentist | 27450 Tourney Rd, Suite 120, Valencia, CA 91355 | 2007-04-19 |
| 1083767602 | Virginia A. Hughson-otte | Dentist | 27450 Tourney Rd, Suite 220, Valencia, CA 91355-1828 | 2007-01-18 |
| 1003929738 | Andrew Anh Tran | Dentist | 27450 Tourney Rd, Suite 130, Valencia, CA 91355-1828 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508372749 | Gilbert H. Snow Dds Inc | Dentist | 27421 Tourney Rd Ste 180, Valencia, CA 91355-5646 | 2017-12-26 |
| 1265957351 | Justin Christopher Berman | Dentist | 23838 Valencia Blvd Ste 300, Valencia, CA 91355-5334 | 2017-08-09 |
| 1437409356 | Drs. Triplett & Martin, A Dental Corporation | Dentist | 23969 Newhall Ranch Road, Valencia, CA 91355 | 2012-09-18 |
| 1063760965 | Ninus Ebrahimi | Dentist | 23969 Newhall Ranch Rd., Valencia, CA 91355 | 2012-08-27 |
| 1659430593 | Carla Abboud | Dentist | 23838 West Valencia Blvd Suite 300, Valencia, CA 91355 | 2006-12-06 |
| 1063591501 | Kathleen L Mulcahey | Dentist | 27885 Smyth Dr, Valencia, CA 91355-4011 | 2006-11-03 |
| 1750460309 | Laura Dawn Greenwald | Dentist | 25757 Leticia Dr, Valencia, CA 91355-2263 | 2006-11-03 |
| 1700961919 | Kathleen Anne Siu | Dentist | 23838 West Valencia Blvd, Suite 300, Valencia, CA 91355 | 2006-10-26 |
| 1134518988 | Kathleen A Siu Professional Corporation | Dentist | 23838 Valencia Blvd, 300, Valencia, CA 91355-5319 | 2015-01-16 |
| 1902212293 | Robert G Stanislawski | Dentist | 25880 Tournament Road, Suite 216, Valencia, CA 91355 | 2014-07-07 |
| Find all providers in VALENCIA | ||||
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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.