EDDIE SO, D.D.S., A DENTAL CORPORATION (NPI# 1275756959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275756959 |
Entity Type | Organization |
Organization Name | EDDIE SO, D.D.S., A DENTAL CORPORATION |
Practice Address |
41 E Foothill Blvd Ste 206 Arcadia CA 91006-2361 |
Practice Telephone | 6264456666 |
Practice Fax Number | 6264456668 |
Mailing Telephone | 6264456666 |
Mailing Fax Number | 6264456668 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2009-01-06 |
Authorized Official Name | DR. EDDIE N SO (PRESIDENT) |
Authorized Official Telephone | 6264456666 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
CA | Dental Providers |
Street Address |
41 E FOOTHILL BLVD STE 206 |
City | ARCADIA |
State | CA |
Zip Code | 91006-2361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235744798 | Michael Gu Dds Inc | Dentist | 41 E Foothill Blvd Ste 206, Arcadia, CA 91006-2361 | 2020-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598994949 | Eunice Y. Im, D.d.s., Inc. | Dentist | 715 S. First Ave., Suite D, Arcadia, CA 91006 | 2009-07-07 |
1013120468 | Eunice Y Im | Dentist | 715 S 1st Ave, Suite D, Arcadia, CA 91006-7525 | 2007-05-08 |
1003028697 | Kevin John Snaer | Dentist | 1235 W Huntington Dr Ste A, Arcadia, CA 91007-6377 | 2007-05-04 |
1568687382 | Medhat N Nashed | Dentist | 45 E Foothill Blvd, Arcadia, CA 91006-2307 | 2007-04-16 |
1134617137 | Calvin Nguyen Le | Dentist | 1235 W Huntington Dr Ste A, Arcadia, CA 91007-6382 | 2018-04-25 |
1265884001 | Eddie N So | Dentist | 41 E Foothill Blvd, Arcadia, CA 91006-2368 | 2016-07-05 |
1235424243 | Stephanie Lynn Morphis | Dentist | 1235 W Huntington Dr, Suite A, Arcadia, CA 91007-6331 | 2011-06-17 |
1952696486 | Tera Lynn Van Houten | Dentist | 1235 W Huntington Dr Ste A, Arcadia, CA 91007-6382 | 2011-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
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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.