WESTERN DENTAL SERVICES, INC. (NPI# 1487216313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487216313 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
434 E Dr Martin Luther King Jr Blvd Stockton CA 95206-1435 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 2096436170 |
| Practice Fax Number | 2096436169 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145716445 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| 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 | G86209 | 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 |
| 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 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| Street Address |
434 E DR MARTIN LUTHER KING JR BLVD |
| City | STOCKTON |
| State | CA |
| Zip Code | 95206-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760001051 | Family Support Home Care LLC | Home Health | 1872 Gordon Verner Cir, Stockton, CA 95206 | 2020-04-16 |
| 1003477837 | Mohit Kumar Gosai | Counselor | 2419 Ophir Street, Stockton, CA 95206 | 2019-06-24 |
| 1609336882 | Monica Fuentes-rodriguez | Licensed Psychiatric Technician | 7000 N Michael Canlis Blv, Stockton, CA 95206 | 2019-03-22 |
| 1013431972 | Esmeralda Garcia | Behavior Technician | 4508 Janell Ln, Stockton, CA 95206 | 2017-08-01 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1689125163 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2428 Warlow Ln, Stockton, CA 95206 | 2016-10-19 |
| 1891175592 | Tracy Ford | Case Manager/Care Coordinator | 1839 S El Dorado Street, Stockton, CA 95206 | 2015-06-08 |
| 1477826212 | Derrick Hardy | Driver | 3819 Wild Rose Ln, Stockton, CA 95206 | 2012-02-09 |
| 1053533117 | Roman Robles | Acupuncturist | 10 E Martin Luther King Jr., Stockton, CA 95206 | 2007-05-02 |
| 1568686830 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1117 S Grant Street, Stockton, CA 95206 | 2007-04-11 |
| Find all providers in zip 95206 | ||||
| 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 |
|---|---|---|---|---|
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1801363825 | Western Dental Services, Inc. | Dentist | 616 W Hammer Ln Ste B, Stockton, CA 95210-3749 | 2018-10-29 |
| 1336635101 | Western Dental Services, Inc. | Dentist | 5756 Pacific Ave Ste 75, Stockton, CA 95207-5156 | 2018-07-05 |
| 1518469550 | Uriel Badillo Centeno | Dentist | 1035 W Robinhood Dr Ste 200, Stockton, CA 95207-5621 | 2018-03-06 |
| 1063940856 | James Rore Dds Inc | Dentist | 4255 Pacific Ave Ste 12, Stockton, CA 95207-7638 | 2017-05-24 |
| 1821547571 | John T. Reed, Dds, Inc. | Dentist | 333 San Carlos Way Ste A, Stockton, CA 95207-2037 | 2016-09-22 |
| 1285180232 | Sky Orion Martin | Dentist | 1310 E Swain Rd Ste 2, Stockton, CA 95210-3308 | 2016-08-30 |
| 1245683861 | Diana Furukawa | Dentist | 5345 N El Dorado St Ste 2, Stockton, CA 95207-5848 | 2016-07-19 |
| 1669861431 | Rajkamal Sohi | Dentist | 4053 E Morada Ln, Stockton, CA 95212-1608 | 2015-01-17 |
| 1629471313 | Janice Liao, Dmd, Inc | Dentist | 3133 W March Ln Ste 2010, Stockton, CA 95219-2361 | 2014-10-08 |
| Find all providers in STOCKTON | ||||
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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.