LOPEZ DENTAL CORPORATION (NPI# 1215438130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215438130 |
| Entity Type | Organization |
| Organization Name | LOPEZ DENTAL CORPORATION |
| Other Organization Name | MODESTO SMILES DENTISTRY DENTAL GROUP |
| Practice Address |
3601 Pelandale Ave Ste D-1 Modesto CA 95356-9808 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 2092450014 |
| Practice Fax Number | 2098463026 |
| Mailing Telephone | 7148458500 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Authorized Official Name | MICHAEL J LOPEZ (OWNER) |
| Authorized Official Telephone | 2092450014 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Modesto Smiles Dentistry Dental Group | Doing Business As Name - Organization |
| Street Address |
3601 PELANDALE AVE STE D-1 |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075988 | Kristen M Belo | Dentist | 3601 Pelandale Ave Ste D-1, Modesto, CA 95356-9808 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1306310933 | Western Dental Services, Inc. | Dentist | 2605 Coffee Rd Ste 200, Modesto, CA 95355-2064 | 2019-01-16 |
| 1205320223 | Western Dental Services, Inc. | Dentist | 2900 Standiford Ave Ste 2, Modesto, CA 95350-6575 | 2018-06-22 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1013457118 | Kaur and Borrero Dds Dental Corp | Dentist | 1801 Tully Rd Ste A1, Modesto, CA 95350-2937 | 2017-03-08 |
| 1821461104 | Michael Lopez Dental Corporation | Dentist | 2103 Mchenry Avenue, Suite C, Modesto, CA 95350 | 2015-11-09 |
| 1760899884 | David Merrill Paxman | Dentist | 400 E Orangeburg Ave Ste 4, Modesto, CA 95350-5365 | 2014-07-21 |
| 1083021323 | Maninder Kaur Dhillon | Dentist | 1912 Standiford Ave Ste 1, Modesto, CA 95350-6507 | 2014-07-18 |
| 1043621618 | Nicholas Poblete | Dentist | 1316 Coffee Rd., Bldg. C, Modesto, CA 95355 | 2014-05-16 |
| 1174869796 | D Park Dds Inc | Dentist | 1130 Coffee Rd Ste 1a, Modesto, CA 95355-4228 | 2012-12-31 |
| Find all providers in MODESTO | ||||
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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.