OUALID TELLISSI (NPI# 1194164566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194164566 |
| Entity Type | Individual |
| Full Name | OUALID TELLISSI |
| Credential | DMD |
| Practice Address |
72695 Highway 111 Suite A-8 Palm Desert CA 92260-3320 |
| Mailing Address |
72695 Highway 111 Ste A8 Palm Desert CA 92260-3320 |
| Practice Telephone | 7603402160 |
| Mailing Telephone | 7603402160 |
| Mailing Fax Number | 7606749997 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2016-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
62427 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
29041 | TX | Dental Providers |
| Street Address |
72695 HIGHWAY 111 SUITE A-8 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| 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 |
|---|---|---|---|---|
| 1497234413 | Christopher Lopes | Dentist | 34460 Monterey Ave Ste 100, Palm Desert, CA 92211-6008 | 2018-08-09 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1952780025 | David Richard Perrone | Dentist | 73091 Country Club Dr., Ste A3, Palm Desert, CA 92260 | 2015-05-22 |
| 1831440502 | Aghaloo, Dds, Inc. | Dentist | 39620 Washington St. Suite C, Palm Desert, CA 92211 | 2012-09-21 |
| 1659637627 | Victor Rider Cuccia | Dentist | 42215 Washington St, Suite E, Palm Desert, CA 92211-8032 | 2012-04-04 |
| 1588817795 | Richard J. Gill, D.d.s., Inc. | Dentist | 73368 Bursera Way, Palm Desert, CA 92260-5729 | 2008-10-31 |
| 1306093562 | Chris A Buscaglia | Dentist | 77530 Enfield Ln Ste 202, Palm Desert, CA 92211-7261 | 2008-08-19 |
| 1770743221 | Duane T Nishikubo | Dentist | 44227 Monterey Ave Ste 1, Palm Desert, CA 92260-2710 | 2008-06-09 |
| 1366609034 | Samir Rizvanbegovic | Dentist | 44421 Town Center Way Ste C, Palm Desert, CA 92260-2705 | 2008-05-20 |
| 1356524334 | Hanna and Rygg Dental Corporation | Dentist | 34460 Monterey Ave, Suite 100, Palm Desert, CA 92211-6008 | 2007-12-12 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
Please comment or provide details below to improve the information on OUALID TELLISSI.
| 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.