WESTERN DENTAL SERVICES, INC. (NPI# 1275679334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275679334 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
1111 E Tulare Ave Tulare CA 93274-4561 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 5596883313 |
| Practice Fax Number | 5596883435 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | PREET TAKKAR (CHIEF INFORMATION OFFICER) |
| Authorized Official Telephone | 7145713372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150-16 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
1111 E TULARE AVE |
| City | TULARE |
| State | CA |
| Zip Code | 93274-4561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104971480 | Jun Ho Lee | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2007-01-24 |
| 1154726321 | Jaeyong Choi | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2014-10-29 |
| 1134557499 | Jerome Villapa Sy-siong | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2013-10-24 |
| 1063854909 | Brian Thang Nguyen | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2013-07-19 |
| 1073808812 | Hilda De La Rosa Wee | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811545502 | Patricia A Akins | Technician | 212 E Gannon Drive, Tulare, CA 93274 | 2019-08-27 |
| 1851956312 | Britney Ann Graham | Behavior Technician | 160 N L St, Tulare, Ca 93274, Tulare, CA 93274 | 2019-05-09 |
| 1427517812 | Adventist Health Physicians Network | Internal Medicine | 951 E. Merritt Ave., Tulare, CA 93274 | 2019-03-15 |
| 1396230710 | Claudia Azucena Gomez | Specialist/Technologist | 6165 Avenue 240, Tulare, CA 93274 | 2018-06-27 |
| 1679009708 | California Medical Imaging Associates, Inc | Radiology | 875 E. Merritt Ave, Tulare, CA 93274 | 2017-05-10 |
| 1073997201 | Family Healthcare Network | Clinic/Center | 263 S. West Street, Tulare, CA 93274 | 2015-07-17 |
| 1598195059 | Antoinette Gutierrez | Counselor | 724 N. Ben Maddox Way, Visalia, CA 93274 | 2013-11-20 |
| 1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
| 1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
| 1346507985 | David Augustine Castro | Counselor | 209 North N Street, Tulare, CA 93274 | 2012-04-20 |
| Find all providers in zip 93274 | ||||
| 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 |
|---|---|---|---|---|
| 1538401419 | Alisa Louise Martin | Dentist | 952 N. Cherry St., Tulare, CA 93274 | 2013-03-19 |
| 1053651539 | Saekyu Oh D.m.d Dental Corp | Dentist | 1407 Hillman Street, Tulare, CA 93274 | 2013-02-21 |
| 1952457913 | Kelly Noelle Larkin | Dentist | 1008 N Cherry St, Tulare, CA 93274-2212 | 2007-01-25 |
| 1104971480 | Jun Ho Lee | Dentist | 1111 E Tulare Ave, Tulare, CA 93274-4561 | 2007-01-24 |
| 1477630937 | Charles Thomas Yoshida | Dentist | 946 N Cherry St, Tulare, CA 93274-2210 | 2006-11-01 |
| 1619069010 | James Michael Moran | Dentist | 901 East Merritt Ave, Tulare, CA 93274 | 2006-09-29 |
| 1710086764 | Jasjeet S Malli | Dentist | 233 N M St, Tulare, CA 93274-4138 | 2006-09-22 |
| 1831110956 | Patricia Jeanne Drilling | Dentist | 877 E Merritt Ave, Tulare, CA 93274-2246 | 2006-07-22 |
| 1760402960 | David Stephen Humerickhouse | Dentist | 617 E Terrace Ave, Tulare, CA 93274-2173 | 2006-07-20 |
| 1538187620 | Christopher George Harbour | Dentist | 314 N K St, Tulare, CA 93274-4008 | 2006-07-17 |
| Find all providers in TULARE | ||||
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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.