REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION (NPI# 1396123683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396123683 |
| Entity Type | Organization |
| Organization Name | REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION |
| Other Organization Name | KIDS CARE DENTAL AND ORTHODONTICS |
| Practice Address |
1791 Oak Ave Ste C Davis CA 95616-1073 |
| Practice Telephone | 5307567516 |
| Practice Fax Number | 5307560727 |
| Mailing Telephone | 5307567516 |
| Mailing Fax Number | 5307560727 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | AARON REEVES (OWNER) |
| Authorized Official Telephone | 5307567516 |
| Is Organization Subpart | Y |
| Parent Organization Name | REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kids Care Dental and Orthodontics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969481 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3210 Countryside Dr, Turlock, CA 95380-8426 | 2020-04-01 |
| 1417585647 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 1361 S Lower Sacramento Rd Ste 605, Lodi, CA 95242-9296 | 2020-04-01 |
| 1972137271 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 1310 E Bidwell St Ste 100, Folsom, CA 95630-3524 | 2020-02-25 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1093346827 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2221 Balfour Rd Ste D, Brentwood, CA 94513-4932 | 2020-01-30 |
| 1538790696 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3000 W Jack London Blvd Spc A-1, Livermore, CA 94551-7609 | 2020-01-28 |
| 1326678368 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3499 Brookside Rd Ste F, Stockton, CA 95219-1784 | 2020-01-17 |
| 1033750195 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5253 Prospect Rd Ste D-2, San Jose, CA 95129-5025 | 2019-09-30 |
| 1629627930 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 5757 Pacific Ave Unit A-145, Stockton, CA 95207-5100 | 2019-09-09 |
| 1851707178 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Dentist | 4670 Natomas Blvd, Suite 100, Sacramento, CA 95835-1217 | 2014-07-08 |
| Street Address |
1791 OAK AVE STE C |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013331008 | Naomi Zaul | Dentist | 1791 Oak Ave, #c, Davis, CA 95616-1073 | 2014-02-11 |
| 1699031898 | Lisa Ann Elenberger | Dentist | 1791 Oak Ave, Suite C, Davis, CA 95616-1073 | 2012-04-02 |
| 1265520670 | Richard A Mandelaris | Dentist | 1791 Oak Ave, #c, Davis, CA 95616 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REEVES, D.D.S. AND LAVALLEY, D.D.S., A DENTAL CORPORATION.
| 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.