WESTERN DENTAL SERVICES, INC. (NPI# 1467016469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467016469 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
2990 W Grant Line Rd Tracy CA 95304-7901 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 2098307797 |
| Practice Fax Number | 2098306842 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145716445 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | PREET TAKKAR (CHIEF INFORMATION OFFICER) |
| Authorized Official Telephone | 7145713372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G90179 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
2990 W GRANT LINE RD |
| City | TRACY |
| State | CA |
| Zip Code | 95304-7901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074729 | Devna Umakant Pandit | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2005-06-23 |
| 1003384991 | Yan Kalika Dental Corporation | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2018-11-08 |
| 1437634532 | Valle Smiles | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2018-09-25 |
| 1427565118 | Ruben Jesus Villa | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2018-01-04 |
| 1821341942 | Dharaben Ravjibhai Munjpara | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2012-10-26 |
| 1164594842 | Community Dental Services | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2006-11-15 |
| 1346325511 | Rozita Bahadori | Dentist | 2990 W Grant Line Rd, Tracy, CA 95304-7901 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770934226 | Tracy Dental Excellence, Chase Dental Group, Inc. | Dentist | 2858 West Grantline Rd, Tracy, CA 95304 | 2016-06-27 |
| 1396153474 | Reny Matthew | Pharmacist | 3010 W Grantline Road, Tracy, CA 95304 | 2014-08-01 |
| 1023286879 | Maneeza A Kulaly | Dentist | 2616 Pavilion Pkwy, Suite B, Tracy, CA 95304 | 2008-02-14 |
| 1447437892 | Norma Jean Paisley | Social Worker | 30000 Kasson Rd. #323, Tracy, CA 95304 | 2008-01-29 |
| 1811061641 | Katherine D Sanchez Dds Inc | Dentist | 2643 Naglee Rd, Tracy, CA 95304 | 2006-11-20 |
| 1851401467 | Costco Wholesale Corporation | Pharmacy | 3250 W Grant Line Rd, Tracy, CA 95304 | 2006-08-30 |
| 1942218128 | Adarsh Kaur | Dentist | 23500, Kasson Road, Tracy, CA 95304 | 2006-08-04 |
| 1982078630 | Janet Joanne Graham | Licensed Practical Nurse | 23500 Kasson Road, Tracy, CA 95304 | 2015-11-18 |
| 1215277207 | Dawn Bramley | Psychologist | 23500 Kasson Rd, Tracy, CA 95304 | 2013-02-27 |
| 1760670509 | Franklin Rafanan | Social Worker | 23500 Kasson Road, Tracy, CA 95304 | 2007-10-05 |
| Find all providers in zip 95304 | ||||
| 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 |
|---|---|---|---|---|
| 1992299317 | Isaac Navarro and Bevan Fareid Dental Corporation | Dentist | 2682 Naglee Rd Ste 110, Tracy, CA 95304-7347 | 2018-06-19 |
| 1770934226 | Tracy Dental Excellence, Chase Dental Group, Inc. | Dentist | 2858 West Grantline Rd, Tracy, CA 95304 | 2016-06-27 |
| 1497138879 | Ramez Shaker | Dentist | 2766 N Tracy Blvd, Tracy, CA 95376-1797 | 2015-07-03 |
| 1639568280 | Reeves, Dds and Lavalley, Dds A Dental Corporation | Dentist | 2805 Naglee Rd Ste 150, Tracy, CA 95304-7339 | 2015-01-21 |
| 1497187314 | Phoebe-elyn Estrada Montemayor | Dentist | 1850 Geranium Way, Tracy, CA 95376-6718 | 2013-08-01 |
| 1437598612 | Sahel Farhangi | Dentist | 3580 W Grant Line Rd Unit 921, Tracy, CA 95304-9626 | 2013-06-20 |
| 1699021071 | Erin Kim | Dentist | 2663 Naglee Rd, Tracy, CA 95304-7317 | 2012-08-03 |
| 1386914125 | Marino J. Alea Iglesias, Dds, P.c | Dentist | 2425 Naglee Rd, Tracy, CA 95304-7324 | 2012-01-11 |
| 1528292158 | Raman Singh | Dentist | 3246 W Grant Line Rd, Tracy, CA 95304-8427 | 2009-05-11 |
| 1194985895 | Shailaja Singh | Dentist | 2750 Naglee Rd, Tracy, CA 95304-7309 | 2008-06-16 |
| Find all providers in TRACY | ||||
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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.