SHANT TERTERYAN (NPI# 1437759164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437759164 |
| Entity Type | Individual |
| Full Name | SHANT TERTERYAN |
| Credential | DDS |
| Practice Address |
530 S Main St Orange CA 92868-4525 |
| Mailing Address |
3145 Kingridge Way Glendale CA 91206-1028 |
| Practice Telephone | 8186655113 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DDS105667 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
105667 | CA | Dental Providers |
| Street Address |
530 S MAIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811985567 | Lucas Gates | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2005-10-07 |
| 1366040412 | Mohammad Muqdad Anwar | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2020-10-12 |
| 1144835380 | Minkle Gulati | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2020-09-14 |
| 1043824378 | Maha Youssef Sadek | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2020-09-03 |
| 1619592102 | Pds Holdings I, Inc | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2020-06-10 |
| 1225675341 | Omar Al Ameen | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2019-12-09 |
| 1013474535 | Vital Smiles Alabama II PC | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2019-02-21 |
| 1245721349 | Haleh Riazi | Dentist | 530 S Main St, Orange, CA 92868 | 2018-05-23 |
| 1609366186 | Toral Jhala | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2018-05-10 |
| 1386133247 | Sleena Sodhi | Dentist | 530 S Main St, Orange, CA 92868-4525 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| 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 |
|---|---|---|---|---|
| 1558900555 | Sanaz Shahbandi Dds A Professional Corporation | Dentist | 845 W La Veta Ave Ste 109, Orange, CA 92868-3930 | 2019-12-23 |
| 1790258572 | Brident Dental Associates PC | Dentist | 530 S Main St Ste 600, Orange, CA 92868-4544 | 2019-01-04 |
| 1548774789 | Asil Dmd Dental Corp | Dentist | 1111 W Town and Country Rd Ste 44, Orange, CA 92868-4667 | 2017-11-27 |
| 1558889055 | Vivian Le | Dentist | 424 S Main St Ste H, Orange, CA 92868-3828 | 2017-09-05 |
| 1124540703 | Elies Kim | Dentist | 1500 E Katella Ave Ste P, Orange, CA 92867-6303 | 2017-07-14 |
| 1477922078 | Brittany Su | Dentist | 305 S Notre Dame St, Orange, CA 92869-4377 | 2015-09-24 |
| 1295102911 | Richard Barone | Dentist | 1122 E Lincoln Ave Ste 114, Orange, CA 92865-1908 | 2015-08-28 |
| 1700268620 | Bradley Daniel Hammitt | Dentist | 111d Spicers Mill Rd, Orange, VA 22960-1023 | 2015-06-27 |
| 1275913535 | David M. Datu | Dentist | 1107 E. Lincoln Ave, #201, Orange, CA 92865 | 2015-06-02 |
| 1770989782 | Dental Spa of Orange | Dentist | 2291 N Tustin St, Orange, CA 92865-3703 | 2014-11-18 |
| Find all providers in ORANGE | ||||
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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.