DR. STEVEN D ICELAND (NPI# 1477747111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477747111 |
Entity Type | Individual |
Full Name | DR. STEVEN D ICELAND |
Credential | DDS |
Practice Address |
5353 Reyes Adobe Road Suite A Agoura Hills CA 91301-2083 |
Practice Telephone | 8189915004 |
Practice Fax Number | 8189913996 |
Mailing Telephone | 8189915004 |
Mailing Fax Number | 8189913996 |
Enumeration Date | 2007-09-05 |
Last Update Date | 2007-09-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 24670 | CA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | D24670 | 05 |
Street Address |
5353 REYES ADOBE ROAD SUITE A |
City | AGOURA HILLS |
State | CA |
Zip Code | 91301-2083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770126823 | Krista Marie Windisch | Technician | 5836 Stonecrest Drive, Agoura, CA 91301 | 2019-10-22 |
1154872372 | Evolve Growth Initiatives LLC | Clinic/Center | 6425 Chesebro Road, Agoura, CA 91301 | 2016-10-24 |
1760851224 | Robert Kevin Ryan | Counselor | 28310 Roadside Drive Suite 235, Agoura Hills, CA 91301 | 2015-09-15 |
1922484054 | Mahyar Okhovat, M.d. Inc | Psychiatry & Neurology | 2925 Canwood St, 109, Agoural Hills, CA 91301 | 2015-07-30 |
1982083929 | Alfred Charles Deciutiis Jr. | Internal Medicine | 32062 1/2 Lobo Canyon, Agoura, CA 91301 | 2015-05-22 |
1821401787 | Brandie Boghosian | Psychologist | 30200 Agoura Rd Ste 190, Agoura, CA 91301 | 2014-06-09 |
1114339041 | Unique Care Los Angeles Hospice, Inc. | Hospice Care, Community Based | 27001 Agoura Rd #110, Calabasas, CA 91301 | 2014-05-27 |
1588905574 | Irit Almog | Marriage & Family Therapist | 5308 Derry Ave Ste L201, Agoura Hills, CA 91301 | 2013-03-15 |
1902152507 | Bethany Vaudrey | Psychologist | 28328 Agoura Rd Ste 102, Agoura Hills, CA 91301 | 2012-08-01 |
1508142472 | Jill Torres | Psychologist | 28729 Roadside Dr Ste 151, Agoura Hills, CA 91301 | 2011-10-24 |
Find all providers in zip 91301 |
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 |
---|---|---|---|---|
1578111878 | John M. Abajian Dds A Dental Corporation | Dentist | 29219 Canwood St Ste 250, Agoura Hills, CA 91301-1591 | 2019-08-29 |
1770939787 | Sarah Nicole Kent | Dentist | 30044 Rainbow Crest Dr, Agoura Hills, CA 91301-4029 | 2016-05-09 |
1598129405 | Sheeva Ahmadian | Dentist | 28632 Roadside Dr Ste 270-b, Agoura Hills, CA 91301-6064 | 2016-04-06 |
1720301229 | Elyse Resnick | Dentist | 28632 Roadside Dr Ste 270, Agoura Hills, CA 91301-6301 | 2010-03-11 |
1780858548 | Karen Zak Kent | Dentist | 5353 Reyes Adobe Rd, Suite A, Agoura Hills, CA 91301-2083 | 2008-04-14 |
1871781922 | David Harvey Shannon | Dentist | 5920 Greenbriar Ct, Agoura Hills, CA 91301-1672 | 2007-10-12 |
1316161615 | Brittany Lynn Lamoureux | Dentist | 29525 Canwood St Ste 301, Agoura Hills, CA 91301-4232 | 2007-04-11 |
1134270366 | Daniel C Smith | Dentist | 28040 Dorothy Dr Ste 202, Agoura Hills, CA 91301-4916 | 2007-01-15 |
1124035787 | Kathleen Susan Carson | Dentist | 30200 Agoura Road, Suite 270, Agoura Hills, CA 91301-4031 | 2006-08-03 |
1194113910 | Changrui Liu, D.d.s., Inc., A Professional Corporation | Dentist | 5601 Kanan Rd, Agoura Hills, CA 91301-3358 | 2014-12-31 |
Find all providers in AGOURA HILLS |
City | AGOURA HILLS |
Zip Code | 91301 |
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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.