AAA DENTISTRY @ IMPERIAL CRENSHAW DENTAL CENTER (NPI# 1326347063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326347063 |
| Entity Type | Organization |
| Organization Name | AAA DENTISTRY @ IMPERIAL CRENSHAW DENTAL CENTER |
| Practice Address |
2798 W Imperial Hwy Inglewood CA 90303-3111 |
| Practice Telephone | 3237772211 |
| Mailing Telephone | 3237772211 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | MR. JOHN BENLAVI (DENTIST / OWNER) |
| Authorized Official Telephone | 3234188888 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
42276 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1234012267 | 05 | |
| CA | 1234542276 | 05 |
| Street Address |
2798 W IMPERIAL HWY |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90303-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
| 1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
| 1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
| 1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
| 1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
| 1568694289 | Philip Michael Bockarie | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-13 |
| 1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
| 1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
| Find all providers in zip 90303 | ||||
| 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 |
|---|---|---|---|---|
| 1043599657 | Bina Korouri Sage Dental Corporation | Dentist | 11344a Crenshaw Blvd, Inglewood, CA 90303-2807 | 2011-08-12 |
| 1972836583 | Parabjeet Kaur | Dentist | 300 East Buckthorn St, Inglewood, CA 90301 | 2009-09-14 |
| 1649427832 | Shadi Hosseini | Dentist | 3561 W Century Blvd, Inglewood, CA 90303-1223 | 2008-08-19 |
| 1326210774 | Peter H. Bae Dds. Dental Corporation | Dentist | 3530 W Century Blvd Ste 107, Inglewood, CA 90303-1234 | 2008-03-26 |
| 1891980181 | Remy Victor Black | Dentist | 318 W. Alpine 92707, 808 E. Manchester Blvd, Inglewood, CA 90301-1914 | 2007-09-10 |
| 1740473347 | Ericdeep Singh Kaleka | Dentist | 6818 S La Cienega Blvd, #102, Inglewood, CA 90302-1912 | 2007-08-27 |
| 1942493572 | Pardeep Singh Brar | Dentist | 6818 S La Cienega Blvd Ste 102, Inglewood, CA 90302-4119 | 2007-08-27 |
| 1154521391 | Luis Ali Herrera | Dentist | 141 N Prairie Ave, Inglewood, CA 90301-1904 | 2007-07-24 |
| 1881894327 | Pragnesh J Dholakiya and Pooran B Dalwani | Dentist | 400 E Regent St, Inglewood, CA 90301-1316 | 2007-07-23 |
| 1962604033 | Michael A. Shaye | Dentist | 327 W Manchester Blvd, Inglewood, CA 90301-1107 | 2007-06-01 |
| Find all providers in INGLEWOOD | ||||
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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.