ANDREW VAN SICKLEN DDS INC. (NPI# 1306470711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306470711 |
| Entity Type | Organization |
| Organization Name | ANDREW VAN SICKLEN DDS INC. |
| Practice Address |
1105 E Foster Rd Ste A Santa Maria CA 93455-6400 |
| Mailing Address |
3667 Johnson Ave San Luis Obispo CA 93401-5959 |
| Practice Telephone | 8053323076 |
| Mailing Telephone | 8054234481 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | DR. ANDREW VAN SICKLEN (OWNER) |
| Authorized Official Telephone | 8054234481 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Surfin Smiles | Doing Business As Name - Organization |
| Street Address |
1105 E FOSTER RD STE A |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93455-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1750905907 | Cottage Clinical Network, LLC | Clinic/Center | 3569 Skyway Drive, Santa Maria, CA 93455 | 2020-06-03 |
| 1891256194 | Derin Deniz Allard | Student in an Organized Health Care Education/Training Program | Marian Family Medicine Center, 1400 E. Church Street, Santa Maria, CA 93455 | 2019-03-28 |
| 1942781729 | Shannon Leigh Stamey | Marriage & Family Therapist | 235 E Clark Ave, Orcutt, CA 93455 | 2018-08-28 |
| 1710471362 | Amit Rawal | Behavioral Analyst | 2342 Professional Pkwy., Ste. 300, Santa Maria, CA 93455 | 2018-06-18 |
| 1548799075 | Karina Valdez | Marriage & Family Therapist | 2370 Skyway Drive Suite #104, Santa Maria, CA 93455 | 2017-06-08 |
| 1801337464 | Brenee English | Counselor | 144 George Lane, Orcutt, CA 93455 | 2017-03-15 |
| 1043762883 | Changing Faces Inc. I/ii | Community/Behavioral Health | 4160 Odie Lane, Santa Maria, CA 93455 | 2016-10-27 |
| 1194177964 | Lindsay E Soto | Counselor | 3653 Corta Bella Way, Santa Maria, CA 93455 | 2016-07-06 |
| 1003239427 | Wellness Solutions, Inc | Chiropractor | 210. E Clark Avenue, Suite A, Santa Maria, CA 93455 | 2014-01-22 |
| Find all providers in zip 93455 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242388 | Koushan Azad Dmd. Inc | Clinic/Center | 238 E Betteravia Rd Ste C, Santa Maria, CA 93454-7889 | 2020-07-15 |
| 1720223860 | Maria R. Silvera Portacio Phd, Dds, Inc. | Clinic/Center | 210 S Palisade Dr Ste 201, Santa Maria, CA 93454-8900 | 2008-12-03 |
| 1003390188 | Purnima Sheoran Dds, Inc | Clinic/Center | 730 E Chapel St, Santa Maria, CA 93454-4576 | 2018-09-24 |
| 1902323314 | Community Health Center of The Central Coast Inc | Clinic/Center | 1304 S Miller St, Santa Maria, CA 93454-6904 | 2017-08-25 |
| 1154741536 | H Sun Choi Dds Inc | Clinic/Center | 802 E Main St, Santa Maria, CA 93454-5329 | 2014-04-23 |
| 1750716452 | Maite Vargas Dental Corporation | Clinic/Center | 500 S Broadway, Suite 246, Santa Maria, CA 93454-5148 | 2013-09-12 |
| 1144545971 | Prasan Mohansinh Parmar Dds, Inc. | Clinic/Center | 1414 S Miller St Ste 7, Santa Maria, CA 93454-6916 | 2010-04-05 |
| 1063648285 | Hyun Woo Kim Dds Inc | Clinic/Center | 125 W Stowell Rd, Santa Maria, CA 93458-6522 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93455 |
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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.