DR. ANGELA LAITHANGBAM (NPI# 1396114716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396114716 |
| Entity Type | Individual |
| Full Name | DR. ANGELA LAITHANGBAM |
| Credential | DDS |
| Practice Address |
1080 Scott Blvd #3 Santa Clara CA 95050-5237 |
| Practice Telephone | 4082440590 |
| Mailing Telephone | 4082440590 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
64900 | CA | Dental Providers |
| Street Address |
1080 SCOTT BLVD #3 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| 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 |
|---|---|---|---|---|
| 1962012971 | Ozge Carkan Sozgen | Dentist | 1150 Scott Blvd Ste A2, Santa Clara, CA 95050-4547 | 2020-08-04 |
| 1831653856 | Well Being Dentistry | Dentist | 3993 Stevens Creek Blvd, Santa Clara, CA 95051-7157 | 2019-01-23 |
| 1952826331 | Kevin Reuter | Dentist | 265 Crestview Dr Ste A, Santa Clara, CA 95050-6503 | 2017-08-07 |
| 1891242756 | Ritu Bhardwaj | Dentist | 2870 Kaiser Dr Apt 128, Santa Clara, CA 95051-7502 | 2016-09-07 |
| 1740644368 | Annie Liou | Dentist | 3454 Victoria Ave, Santa Clara, CA 95051-2704 | 2016-04-09 |
| 1316299175 | Jeanette Truong Hager | Dentist | 885 Scott Blvd Ste 3, Santa Clara, CA 95050-5255 | 2012-10-03 |
| 1265679559 | Khalil Saghezchi | Dentist | 2725 El Camino Real Ste 109, Santa Clara, CA 95051-3000 | 2009-01-08 |
| 1972764959 | Lotfi Dds, Inc. | Dentist | 4533 Stevens Creek Blvd, Santa Clara, CA 95051-6856 | 2008-06-23 |
| 1134307895 | Ed Hilo | Dentist | 4767 Lafayette St Ste 104, Santa Clara, CA 95054-1600 | 2008-02-05 |
| 1467657437 | Ma Aileen Villarin Balce | Dentist | 2041 El Camino Real, Santa Clara, CA 95050-4054 | 2007-06-19 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
Please comment or provide details below to improve the information on DR. ANGELA LAITHANGBAM.
| 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.