DO-YABUT AND WATANABE DENTAL CORPORATION (NPI# 1477652618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477652618 |
Entity Type | Organization |
Organization Name | DO-YABUT AND WATANABE DENTAL CORPORATION |
Other Organization Name | BEAR CREEK DENTAL GROUP AND ORTHODONTICS |
Practice Address |
36068 Hidden Springs Rd Suite H Wildomar CA 92595-7679 |
Mailing Address |
2860 Michelle Drive 2nd Floor Irvine CA 92606-1009 |
Practice Telephone | 9516780790 |
Practice Fax Number | 9516780796 |
Mailing Telephone | 7145083600 |
Mailing Fax Number | 7143682092 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2012-07-05 |
Authorized Official Name | DR. BRYAN K WATANABE (OWNER DDS) |
Authorized Official Telephone | 9516780790 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
49784 | CA | Dental Providers |
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
38130 | CA | Dental Providers |
Y | 1223G0001X |
Dentist Specialization: General Practice |
40130 | CA | Dental Providers |
Other Name | Type Code |
---|---|
Bear Creek Dental Group and Orthodontics | Doing Business As Name - Organization |
Street Address |
36068 HIDDEN SPRINGS RD SUITE H |
City | WILDOMAR |
State | CA |
Zip Code | 92595-7679 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538145867 | Diana Song Do-yabut | Dentist | 36068 Hidden Springs Rd, Ste H, Wildomar, CA 92595-7622 | 2005-12-19 |
1891154282 | Erene Attalla | Dentist | 36068 Hidden Springs Rd, Ste H, Wildomar, CA 92595-7679 | 2016-02-15 |
1245648369 | Jason V Albano | Dentist | 36068 Hidden Springs Rd, Suite H, Wildomar, CA 92595-7679 | 2014-08-01 |
1316351687 | Amanda Ashley Mercer | Dentist | 36068 Hidden Springs Rd, Wildomar, CA 92595-7679 | 2014-06-16 |
1760651731 | Aimee Lynn Montgomery | Dentist | 36068 Hidden Springs Rd, Suite H, Wildomar, CA 92595-7679 | 2008-02-25 |
1821104340 | Bach Nguyen | Dentist | 36068 Hidden Springs Rd, Ste. H, Wildomar, CA 92595-7679 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
Find all providers in zip 92595 |
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 |
---|---|---|---|---|
1235489303 | Semrien Dds Inc. | Dentist | 32100 Clinton Keith Rd, E, Wildomar, CA 92595-7566 | 2012-09-14 |
1013579218 | Alexander William Pollock | Dentist | 36068 Hidden Springs Rd Ste H, Wildomar, CA 92595-7681 | 2019-07-08 |
1538430426 | Eric Duane Velk | Dentist | 32475 Clinton Keith Rd, Suite 115, Wildomar, CA 92595-8663 | 2012-01-24 |
1457445231 | Diana Do-yabut and Bryan Watanabe Dental Corporation | Dentist | 23905 Clinton Keith Rd, Ste. 108, Wildomar, CA 92595-7897 | 2006-10-03 |
1629189030 | Paul W Taylor | Dentist | 23905 Clinton Keith Rd, Ste. 108, Wildomar, CA 92595-7897 | 2006-08-31 |
1578674982 | Joshua E Walker | Dentist | 23905 Clinton Keith Rd, Ste. 108, Wildomar, CA 92595-7897 | 2006-08-31 |
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1255932141 | Jason T Garland | Dentist | 7892 Sitio Mirto, Carlsbad, CA 92009-6999 | 2020-11-05 |
1386245462 | Miller Skinner and Dastrup Dental Corporation of Madera | Dentist | 118 N A St, Madera, CA 93638-3210 | 2020-11-04 |
1912508177 | Adrian Acosta Dds A Professional Dental Corp | Dentist | 951 W. Whittier Blvd, La Habra, CA 90631-3743 | 2020-11-04 |
1871194175 | Lawrence G. Low Dds & Kenneth Y.k. Li Dds | Dentist | 229 Cajon St Ste 3, Redlands, CA 92373-5284 | 2020-11-03 |
1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
1083214282 | Sara Davidson, Dds, PC | Dentist | 176 Terra Vista Ave, San Francisco, CA 94115-3824 | 2020-10-27 |
1871192484 | David Moody Dental Corporation | Dentist | 19737 W Valley Blvd, Tehachapi, CA 93561-8601 | 2020-10-23 |
1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
1104425248 | Aditi Mehndiratta | Dentist | 17585 Vierra Canyon Rd, Prunedale, CA 93907-3312 | 2020-10-20 |
1346849452 | Lauren Gabrielle Alfonso Santos | Dentist | 4005 Manzanita Ave Ste 50, Carmichael, CA 95608-1784 | 2020-10-20 |
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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.