FRATT DENTAL CORPORATION (NPI# 1457672149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457672149 |
| Entity Type | Organization |
| Organization Name | FRATT DENTAL CORPORATION |
| Other Organization Name | AZUSA DENTAL |
| Practice Address |
810 E Alosta Ave Azusa CA 91702-2706 |
| Practice Telephone | 6268042144 |
| Mailing Telephone | 6268042144 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |
| Authorized Official Name | DR. DENNIS R FRATT (OWNER) |
| Authorized Official Telephone | 7144281200 |
| 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 |
|---|---|
| AZUSA DENTAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730525189 | Fratt Dental Corporation | Dentist | 1601 W 17th St Ste G, Santa Ana, CA 92706-3340 | 2013-05-13 |
| 1659619856 | Fratt Dental Corporation | Dentist | 8611 S Sepulveda Blvd, Los Angeles, CA 90045-4001 | 2013-01-22 |
| 1063718526 | Fratt Dental Corporation | Dentist | 2490 Sycamore Dr, Ste A, Simi Valley, CA 93065-2302 | 2011-02-01 |
| 1164728622 | Fratt Dental Corporation | Dentist | 18633 Brookhurst St, Fountain Valley, CA 92708-6748 | 2011-02-01 |
| 1265753958 | Fratt Dental Corporation | Dentist | 1286 Auto Park Way, Ste W2, Escondido, CA 92029-2232 | 2010-06-16 |
| 1912228602 | Fratt Dental Corporation | Dentist | 4170 Oceanside Blvd, Ste 183, Oceanside, CA 92056-6007 | 2010-06-16 |
| 1295056984 | Fratt Dental Corporation | Dentist | 752 S Rancho Santa Fe Rd, San Marcos, CA 92078-3935 | 2010-06-16 |
| 1790978070 | Fratt Dental Corporation | Dentist | 1631 N Bristol St Ste 100, Santa Ana, CA 92706-3347 | 2007-08-21 |
| 1689866014 | Fratt Dental Corporation | Dentist | 26477 Golden Valley Rd, Santa Clarita, CA 91350-2973 | 2007-08-09 |
| 1912100751 | Fratt Dental Corporation | Dentist | 43456 10th Street West, Lancaster, CA 93534 | 2007-06-08 |
| Street Address |
810 E ALOSTA AVE |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417316266 | Consumerhealth, Inc. | Dentist | 810 E Alosta Ave, Azusa, CA 91702-2706 | 2016-02-22 |
| 1881078913 | Sahawneh Dental Corporation | Dentist | 810 E Alosta Ave, Azusa, CA 91702-2706 | 2015-07-18 |
| 1487968707 | Consumerhealth, Inc. | Dentist | 810 E Alosta Ave, Azusa, CA 91702-2706 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1467776294 | Brianne Luu, Dmd, Inc. | Dentist | 232 N Azusa Ave, Azusa, CA 91702-3524 | 2010-03-23 |
| 1386801405 | Weizhong Su | Dentist | 5567 N Azusa Ave, Azusa, CA 91702-5544 | 2008-05-16 |
| 1104016419 | Peter Luu | Dentist | 706 N Azusa Ave, Azusa, CA 91702-2507 | 2007-08-01 |
| 1104044635 | Angela Hoffman | Dentist | 483 S Citrus Ave, Azusa, CA 91702-4734 | 2007-04-22 |
| 1477619682 | Ralph Reyes | Dentist | 613 N Azusa, Ste B, Azusa, CA 91702-5007 | 2006-12-29 |
| 1336204866 | Ronald Redoblado | Dentist | 29 Mountain Laurel Way, Azusa, CA 91702-6265 | 2006-12-26 |
| 1164462263 | James D Ahn | Dentist | 315 E Gladstone St, Azusa, CA 91702-4928 | 2006-06-07 |
| 1245631191 | Peter Luu Dds Inc | Dentist | 706 N Azusa Ave, Azusa, CA 91702-2507 | 2014-09-10 |
| 1477873073 | Weizhong Su Dds Inc | Dentist | 5567 N Azusa Ave, Azusa, CA 91702-5544 | 2010-06-04 |
| 1437351418 | Yen Shih, Dds, Inc. | Dentist | 680 E Alosta Ave Ste 108, Azusa, CA 91702-2710 | 2007-06-02 |
| Find all providers in AZUSA | ||||
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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.