HARSONO DENTAL CORP (NPI# 1225588254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225588254 |
| Entity Type | Organization |
| Organization Name | HARSONO DENTAL CORP |
| Practice Address |
431 Monterey Ave Ste 6 Los Gatos CA 95030-5319 |
| Mailing Address |
550 Moreland Way 4512 Santa Clara CA 95054-4123 |
| Practice Telephone | 4083541717 |
| Mailing Telephone | (650) 667-1369 |
| Mailing Fax Number | 6503962959 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. MASLY HARSONO (OWNER) |
| Authorized Official Telephone | 6463387593 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
64977 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 826 E Fremont Ave, Suite D, Sunnyvale, CA 940873651 | 6506671369 | 6503962959 |
| Street Address |
431 MONTEREY AVE STE 6 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-5319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669893731 | Masly Harsono | Dentist | 431 Monterey Ave Ste 6, Los Gatos, CA 95030-5319 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| 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 |
|---|---|---|---|---|
| 1083250468 | Mahsa Esfandiari, D.d.s., Dental Corp. | Dentist | 14465 S Bascom Ave Ste K, Los Gatos, CA 95032-2002 | 2019-11-21 |
| 1669893731 | Masly Harsono | Dentist | 431 Monterey Ave Ste 6, Los Gatos, CA 95030-5319 | 2013-12-17 |
| 1184944977 | Lotus L Mahon, Dds, Inc. | Dentist | 242 University Ave, Los Gatos, CA 95030-6013 | 2010-06-03 |
| 1760704407 | William Litt Perry | Dentist | 100 Los Gatos Saratoga Rd, Suite C, Los Gatos, CA 95032-7397 | 2010-02-23 |
| 1154589489 | Anthony Yagobi | Dentist | 320 Los Gatos Saratoga Rd, Los Gatos, CA 95030-5318 | 2008-05-22 |
| 1013182344 | Ronald T Marsuura | Dentist | 431 Monterey Ave #6, Los Gatos, CA 95030 | 2008-04-28 |
| 1457474371 | Robert Dyer Dds & Christina Fantino Dds Dba Oak Meadow Dental Center | Dentist | 210 Oak Meadow Dr, Los Gatos, CA 95032-4407 | 2007-04-07 |
| 1275651853 | Jay Morton Bloom | Dentist | 14515 S Bascom Ave, Los Gatos, CA 95032-2003 | 2007-03-26 |
| 1730203381 | Richard H Evans | Dentist | 14501 S Bascom Ave, Suite G, Los Gatos, CA 95032-2003 | 2007-03-19 |
| 1386773166 | Brent Carl Lay | Dentist | 24900 Highland Way, Los Gatos, CA 95033-8002 | 2007-03-05 |
| Find all providers in LOS GATOS | ||||
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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.