S.Y. JANG DDS CORPORATIOM (NPI# 1477943173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477943173 |
| Entity Type | Organization |
| Organization Name | S.Y. JANG DDS CORPORATIOM |
| Other Organization Name | MAKE A SMILE |
| Practice Address |
3433 Arden Way Sacramento CA 95825-2018 |
| Mailing Address |
2260 E Bidwell St # 317 Folsom CA 95630-3463 |
| Practice Telephone | 9167816550 |
| Practice Fax Number | 9169839012 |
| Mailing Telephone | 9167816550 |
| Mailing Fax Number | 9169839012 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | MEGAN POOLE (OPERATIONS MANAGER) |
| Authorized Official Telephone | 9167816550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
57611 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Make A Smile | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831589530 | S.y. Jang Dds Corporatiom | Dentist | 9585 Laguna Springs Dr, # 120, Elk Grove, CA 95758-7969 | 2015-02-02 |
| 1386034080 | S.y. Jang Dds Corporatiom | Dentist | 731 Sterling Pkwy, # 100, Lincoln, CA 95648-7306 | 2015-02-02 |
| 1497145197 | S.y. Jang Dds Corporatiom | Dentist | 3840 El Dorado Hills Blvd, # 203, El Dorado Hills, CA 95762-4567 | 2015-02-02 |
| 1023408721 | S.y. Jang Dds Corporatiom | Dentist | 500 Auburn Folsom Rd, # 330, Auburn, CA 95603-5645 | 2015-02-02 |
| 1013307719 | S.y. Jang Dds Corporatiom | Dentist | 2241 Sunset Blvd, # D, Rocklin, CA 95765-4295 | 2015-02-02 |
| 1194115154 | S.y. Jang Dds Corporatiom | Dentist | 2190 E Bidwell St, Folsom, CA 95630-6453 | 2015-01-29 |
| Street Address |
3433 ARDEN WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154483550 | Martha Eugenia De Los Rios | Dentist | 3433 Arden Way, Sacramento, CA 95825-2018 | 2006-12-14 |
| 1497145064 | S Jang Dds Incorporated | Dentist | 3433 Arden Way, Sacramento, CA 95825-2018 | 2015-02-03 |
| 1700127321 | M. Tavallaei Dmd Inc | Dentist | 3433 Arden Way, Suite B, Sacramento, CA 95825-2018 | 2013-03-06 |
| 1992008098 | Tavallaei, D.m.d., Corporation | Dentist | 3433 Arden Way, Sacramento, CA 95825-2018 | 2010-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1093225088 | S.y.y Jang Dds Corp | Dentist | 7227 29th St # C, Sacramento, CA 95822-5005 | 2017-10-04 |
| 1194193680 | Garrett A. Lee Dds, Inc. | Dentist | 8241 Bruceville Rd, Suite 180, Sacramento, CA 95823-2365 | 2015-09-14 |
| 1679976013 | Craig B Hollingsworth Dds Inc | Dentist | 2650 21st St. #7, Sacramento, CA 95818-2539 | 2014-09-30 |
| 1851707178 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Dentist | 4670 Natomas Blvd, Suite 100, Sacramento, CA 95835-1217 | 2014-07-08 |
| 1104073121 | Ellen Mark | Dentist | 6399 Garfield Ave, Suite 150, Sacramento, CA 95841 | 2008-08-20 |
| 1124292388 | Garrett Adam Lee | Dentist | 6300 Garfield Ave Ste 150, Sacramento, CA 95841-5403 | 2008-04-18 |
| 1619195849 | B. Deirmenjian, Dds, Inc. | Dentist | 3428 Watt Ave Ste B, Sacramento, CA 95821-3624 | 2007-04-23 |
| 1306064019 | Jeffrey A Saladin | Dentist | 4150 Truxel Rd Ste B, Sacramento, CA 95834-3761 | 2007-04-20 |
| 1669591459 | Brenda Ho | Dentist | 905 Secret River Dr Ste E, Sacramento, CA 95831-3437 | 2007-03-29 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on S.Y. JANG DDS CORPORATIOM.
| 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.