DR. SLIM BOUCHOUCHA (NPI# 1275652422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275652422 |
| Entity Type | Individual |
| Full Name | DR. SLIM BOUCHOUCHA |
| Credential | D.D.S.,M.S. |
| Practice Address |
940 Sylva Ln Suite K1 Sonora CA 95370-5969 |
| Practice Telephone | 2095325578 |
| Practice Fax Number | 2095326216 |
| Mailing Telephone | 2095325578 |
| Mailing Fax Number | 2095326216 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
41705 | CA | Dental Providers |
| Street Address |
940 SYLVA LN SUITE K1 |
| City | SONORA |
| State | CA |
| Zip Code | 95370-5969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770554016 | Vinod C Bhan | Registered Nurse | 940 Sylva Ln, Suite G, Sonora, CA 95370-5969 | 2006-01-26 |
| 1972896785 | Sonora Oral & Maxillofacial Surgery Dental Group | Dentist | 940 Sylva Ln, Suite K-1, Sonora, CA 95370-5969 | 2011-05-26 |
| 1083849004 | Charles G Cox Md Medical Corporation | Internal Medicine | 940 Sylva Ln, Bldg. B, Sonora, CA 95370-5969 | 2009-05-19 |
| 1538356415 | Frank E. Whitney, M.d., Inc. | Orthopaedic Surgery | 940 Sylva Ln, Suite E, Sonora, CA 95370-5969 | 2007-09-25 |
| 1699983478 | Marylinn Diane Reinhardt-stephenson | Dentist | 940 Sylva Ln, Suite A, Sonora, CA 95370-5969 | 2007-05-18 |
| 1639298755 | Frederick R Mathews | Dentist | 940 Sylva Ln, Suite K1, Sonora, CA 95370-5969 | 2007-03-28 |
| 1578688461 | Arthur Norton Donaldson IIi | Ophthalmology | 940 Sylva Ln, Ste.g, Sonora, CA 95370-5969 | 2007-03-20 |
| 1497882914 | Arthur N Donaldson M D Inc | Ophthalmology | 940 Sylva Ln, Ste.g, Sonora, CA 95370-5969 | 2007-02-28 |
| 1558497263 | Arthur N Donaldson M D Inc | Clinic/Center | 940 Sylva Ln, Suite G, Sonora, CA 95370-5969 | 2007-02-26 |
| 1780719062 | Gould Dwight Hayden | Ophthalmology | 940 Sylva Ln, Ste.g, Sonora, CA 95370-5969 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
| Find all providers in zip 95370 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780848119 | Samuel George Petersen | Dentist | 940 Sylva Ln Ste K1, Sonora, CA 95370-5969 | 2008-07-15 |
| 1972896785 | Sonora Oral & Maxillofacial Surgery Dental Group | Dentist | 940 Sylva Ln, Suite K-1, Sonora, CA 95370-5969 | 2011-05-26 |
| 1639298755 | Frederick R Mathews | Dentist | 940 Sylva Ln, Suite K1, Sonora, CA 95370-5969 | 2007-03-28 |
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| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
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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.