COMPEAN AND JEFFERSON DENTAL CORPORATION (NPI# 1427140284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427140284 |
| Entity Type | Organization |
| Organization Name | COMPEAN AND JEFFERSON DENTAL CORPORATION |
| Other Organization Name | TRIANGLE DENTAL GROUP AND ORTHODONTICS |
| Practice Address |
14305 Baseline Ave Fontana CA 92336-3631 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 9093551700 |
| Practice Fax Number | 9093551707 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 9494741495 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | DR. CARLOS COMPEAN (OWNER DDS) |
| Authorized Official Telephone | 9093551700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Triangle Dental Group And Orthodontics | Doing Business As Name - Organization |
| Street Address |
14305 BASELINE AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271470 | Soniya Patidar | Dentist | 14305 Baseline Ave, Fontana, CA 92336-3631 | 2019-08-21 |
| 1255845947 | Jesse Seifu Felema | Dentist | 14305 Baseline Ave, Fontana, CA 92336 | 2017-11-17 |
| 1497298970 | Mary Rose Compean | Dentist | 14305 Baseline Ave, Fontana, CA 92336-3631 | 2016-12-01 |
| 1760646244 | Erick Eli Gutierrez | Dentist | 14305 Baseline Ave, Fontana, CA 92336-3631 | 2008-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| 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 |
|---|---|---|---|---|
| 1811462369 | Jo-ann De Jesus Africa Dds Inc | Dentist | 15375 Baseline Ave Ste 5, Fontana, CA 92336-5774 | 2018-10-11 |
| 1285137729 | Hoa Nguyen, Dmd, Inc | Dentist | 9190 Sierra Ave Ste 101, Fontana, CA 92335-8613 | 2018-03-12 |
| 1316469885 | Olga Leizerovitz | Dentist | 7426 Cherry Ave Ste 250, Fontana, CA 92336-4221 | 2017-07-16 |
| 1295275642 | Mikaela Benlulu | Dentist | 9193 Sierra Ave Ste A, Fontana, CA 92335-4776 | 2017-03-06 |
| 1982067229 | Youngkwun Kim Dds Inc | Dentist | 8110 Mango Ave Ste 101, Fontana, CA 92335-3603 | 2016-04-04 |
| 1053778241 | Maria Kim | Dentist | 16475 Sierra Lakes Pkwy, 140, Fontana, CA 92336-1259 | 2016-01-20 |
| 1104176817 | Mauricio Dossantos | Dentist | 11201 Sierra Ave Ste 1f, Fontana, CA 92337-7581 | 2012-09-11 |
| 1992079230 | Ivan V. Madzarevic | Dentist | 8990 Sierra Ave., #f, Fontana, CA 92335 | 2012-03-05 |
| 1770879439 | Daniel Wonil Hwang Dds,inc | Dentist | 17695 Arrow Blvd Ste J, Fontana, CA 92335-4041 | 2011-06-21 |
| 1487953949 | Maria Virginia Bravo-espinoza | Dentist | 16147 Foothill Blvd, A, Fontana, CA 92335-0000 | 2011-03-23 |
| Find all providers in FONTANA | ||||
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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.