DAVID R. TELLES, D.D.S., A PROFESSIONAL CORPORATION (NPI# 1447688551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447688551 |
| Entity Type | Organization |
| Organization Name | DAVID R. TELLES, D.D.S., A PROFESSIONAL CORPORATION |
| Practice Address |
1920 Main St Suite # 165 Irvine CA 92614-7209 |
| Practice Telephone | 9495148714 |
| Mailing Telephone | 9495148714 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | DR. DAVID RODNEY TELLES (PRESIDENT / OMFS) |
| Authorized Official Telephone | 9495148714 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
55094 | CA | Dental Providers |
| Street Address |
1920 MAIN ST SUITE # 165 |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104338748 | Nimesh N Patel Dds Inc | Dentist | 33 Creek Rd Ste B, Irvine, CA 92604-4791 | 2017-11-03 |
| 1396285284 | J.a. Straw, D.d.s., Inc. | Dentist | 16300 Sand Canyon Ave Ste 711, Irvine, CA 92618-3707 | 2017-02-27 |
| 1588001218 | Ali Amrollahie | Dentist | 60 Orange Blossom, Irvine, CA 92618-4412 | 2013-06-04 |
| 1568715753 | Vivian Jui, D.m.d., Inc. | Dentist | 16300 Sand Canyon Ave Ste 701, Irvine, CA 92618-3707 | 2012-10-25 |
| 1700044237 | Tony Yang | Dentist | 113 Waterworks Way, #110, Irvine, CA 92618-3167 | 2008-05-30 |
| 1386822971 | Lee Duong Pham | Dentist | 58 Tesoro, Irvine, CA 92618-0103 | 2008-02-05 |
| 1891828687 | Eric Kim | Dentist | 15785 Laguna Canyon Rd Ste 110, Irvine, CA 92618-3166 | 2007-03-13 |
| 1427064963 | Paul B Anderson | Dentist | 720 Turtle Crest Dr, Irvine, CA 92603-1014 | 2006-08-01 |
| 1861906174 | Michael D Cooper Dds Dental Corporation | Dentist | 4980 Barranca Pkwy Ste 206, Irvine, CA 92604-8655 | 2017-11-22 |
| 1497171953 | Ali Karimi Dds Medical Corporation | Dentist | 113 Waterworks Way Ste 355, Irvine, CA 92618-3172 | 2014-03-07 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on DAVID R. TELLES, D.D.S., A PROFESSIONAL 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.