TIN DENTAL SPECIALTY GROUP A PROFESSIONAL DENTAL CORP (NPI# 1285161323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285161323 |
| Entity Type | Organization |
| Organization Name | TIN DENTAL SPECIALTY GROUP A PROFESSIONAL DENTAL CORP |
| Other Organization Name | SL DENTAL SPECIALTY GROUP |
| Practice Address |
1436 Clarke St San Leandro CA 94577-3635 |
| Practice Telephone | 4159870260 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |
| Authorized Official Name | DR. JUSTIN TIN (CEO) |
| Authorized Official Telephone | 4152183866 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | 37744 | 01 |
| Other Name | Type Code |
|---|---|
| SL Dental Specialty Group | Doing Business As Name - Organization |
| Street Address |
1436 CLARKE ST |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396463 | Quyen Bach | Dentist | 2525 Merced St, San Leandro, CA 94577-4212 | 2020-08-14 |
| 1982168183 | Laguro, Inc. | Dentist | 201 Dolores Ave, San Leandro, CA 94577-5007 | 2019-01-22 |
| 1003313925 | C Chiu Dds Inc | Dentist | 2561 Merced St, San Leandro, CA 94577-4207 | 2018-04-08 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1659808624 | Kabiri Premier Dental Inc. | Dentist | 425 Estudillo Ave Ste B, San Leandro, CA 94577-4906 | 2017-05-22 |
| 1669810263 | Radhika Alampalli | Dentist | 14895 E 14th St Ste 100, San Leandro, CA 94578-2985 | 2013-06-06 |
| 1699924712 | John Barry Williamson | Dentist | 1450 Bancroft Ave., San Leandro, CA 94577 | 2008-09-12 |
| 1205009677 | Mona Moy | Dentist | 506 Estudillo Ave, San Leandro, CA 94577-4612 | 2008-04-08 |
| 1063682268 | Bich-ngoc Nguyen | Dentist | 345 Estudillo Ave Ste 201, San Leandro, CA 94577-4702 | 2008-03-04 |
| 1194921072 | Sam Tun Tan | Dentist | 425 Estudillo Ave, Suite C, San Leandro, CA 94577-4961 | 2007-06-26 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on TIN DENTAL SPECIALTY GROUP A PROFESSIONAL DENTAL CORP.
| 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.