DR. MARIE BEVERLY DIZON


Address: 1516 Stardust Dr, West Covina, CA 91790-4558
Phone: 6266436911

DR. MARIE BEVERLY DIZON (NPI# 1275989659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275989659
Entity Type Individual
Full Name DR. MARIE BEVERLY DIZON
Credential D.D.S., M.S.
Practice Address 1516 Stardust Dr
West Covina
CA 91790-4558
Practice Telephone 6266436911
Mailing Telephone 6266436911
Enumeration Date 2016-05-04
Last Update Date 2020-03-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 63959 CA Dental Providers
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
63959 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CA DENTAL LICENSE 63959 01

Office Location

Street Address 1516 STARDUST DR
City WEST COVINA
State CA
Zip Code 91790-4558

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285279067 Liang-wen Chen Acupuncturist 1433 West Merced Ave. Suite 304, West Covina, CA 91790 2019-11-15
1245880517 Cheuk Man Chan Acupuncturist 1433 W Merced Ave., #309, West Covina, CA 91790 2019-09-18
1982174561 Alexandra Isaacs Marriage & Family Therapist 1215 W. West Covina Pkwy., West Covina, CA 91790 2018-11-27
1568949709 Lulua Zulfikarali Bahrainwala Student in an Organized Health Care Education/Training Program 1115 S Sunset Avenue #3940, West Covina, CA 91790 2018-07-20
1417442740 Lydia Joy David Nurse Practitioner 1769 S Sunset Ave, West Covina, CA 91790 2018-06-28
1043721046 Kimberly E Nevarez Specialist/Technologist 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 2017-10-17
1952825754 Evan Lee Hendriks Physician Assistant 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 2017-08-02
1669994588 Meryl Francine Liu Dentist 1101 S. Glendora Ave #a, West Covina, CA 91790 2017-07-12
1326586330 Athena Merianos Marriage & Family Therapist 1215 W. West Parkway, West Covina, CA 91790 2017-02-09
1912445990 Lissette Bueno Case Manager/Care Coordinator 1517 West Garvey Ave North, West Covina, CA 91790 2017-02-09
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548357262 Fariborz Rodef Dentist 2233 E Garvey Ave N, West Covina, CA 91791-1500 2006-10-06
1609873876 Kanoknuch Shiflett Dentist 906 S Sunset Ave Ste 105, West Covina, CA 91790-3400 2005-07-03
1295215168 Kanoknuch Shiflett Dental Corp Dentist 906 S Sunset Ave Ste 105, West Covina, CA 91790-3400 2018-08-20
1578893939 Anna Lynn Tongson De Guzman Dentist 933 S Sunset Ave, Suite 205, West Covina, CA 91790-3410 2010-01-07
1265624985 Kanoknuch S. Shiflett, D.d.s. Inc. Dentist 906 S Sunset Ave Ste 105, West Covina, CA 91790-3400 2007-08-16
1912114059 Ali Manouchehri Dentist 2233 E Garvey Ave N, West Covina, CA 91791-1500 2007-05-17
1669686614 Christina Y Chun Dentist 2233 E Garvey Ave N, West Covina, CA 91791-1500 2007-05-09
1992892616 Fariborz Rodef Dds Inc Dentist 2233 E Garvey Ave N, West Covina, CA 91791-1500 2006-10-06

Providers in the same taxonomy and state

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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Competitor

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City WEST COVINA
Zip Code 91790

Improve Information

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Dataset Information

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.

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