ROBERT GARY WOOLERY (NPI# 1356378269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356378269 |
| Entity Type | Individual |
| Full Name | ROBERT GARY WOOLERY |
| Credential | DDS |
| Practice Address |
7990 Orangethorpe Ave Buena Park CA 90621 |
| Practice Telephone | 7149941000 |
| Practice Fax Number | 7149940448 |
| Mailing Telephone | 7149941000 |
| Mailing Fax Number | 7149940448 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 20603 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 698908 | 01 | |
| CA | B2060301 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710396197 | Robert Woolery Jr. | Dentist | 3318 Simpson Ave, Ocean City, NJ 08226-2066 | 2014-08-11 |
| 1679749535 | Robert E Woolery | Dentist | 3318 Simpson Avenue, Ocean City, NJ 08226-2066 | 2008-05-01 |
| 1083616551 | Robert Leland Woolery | Dentist | 1110 Driftwood Pl, Salinas, CA 93901-1812 | 2005-08-12 |
| Street Address |
7990 ORANGETHORPE AVE |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215557376 | Quynh Ngo Dmd Inc | Clinic/Center | 7990 Orangethorpe Ave, Buena Park, CA 90621-3437 | 2020-04-19 |
| 1477663219 | Elizabeth Varughese | Dentist | 7990 Orangethorpe Ave, Buena Park, CA 90621 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| 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 |
|---|---|---|---|---|
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1235696071 | Soo Yeon Chung | Dentist | 5832 Beach Blvd Unit 202, Buena Park, CA 90621-5501 | 2019-02-28 |
| 1356820880 | Yejin Kim | Dentist | 8190 Cachuma Cir, Buena Park, CA 90621-1354 | 2018-08-06 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1053831396 | Foroutan Dental Corp | Dentist | 8951 Knott Ave Ste L, Buena Park, CA 90620-4108 | 2017-06-27 |
| 1205229614 | Goodman Maa Dds | Dentist | 8654b On The Mall # 154b, Buena Park, CA 90620-3232 | 2015-03-09 |
| 1922403815 | Jaeeun Jeong | Dentist | 5258 Beach Blvd Ste A, Buena Park, CA 90621-1276 | 2014-11-04 |
| 1063849180 | Oliver Silvestre Cruz | Dentist | 5825 Lincoln Ave Ste H, Buena Park, CA 90620-3477 | 2013-10-03 |
| 1912248832 | Young R. Kim, Dds, Inc | Dentist | 5300 Beach Blvd., #109, Buena Park, CA 90621-1291 | 2013-03-04 |
| 1457600330 | Daniel D. Chung Dds Inc | Dentist | 8884 Knott Ave., Buena Park, CA 90620 | 2012-09-06 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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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.