MARK G PHILLIPE (NPI# 1487933842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487933842 |
| Entity Type | Individual |
| Full Name | MARK G PHILLIPE |
| Credential | DDS |
| Practice Address |
31571 Canyon Estates Dr Ste 117 Lake Elsinore CA 92532-0471 |
| Practice Telephone | 9512449495 |
| Mailing Telephone | 9512449495 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D9615 | OR | Dental Providers |
| Street Address |
31571 CANYON ESTATES DR STE 117 |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92532-0471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
| 1619469194 | Derek B. Hauser, Dds, Inc. | Clinic/Center | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532-0471 | 2018-05-31 |
| 1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
| 1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
| 1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
| 1104287754 | Linell Barretto | Physical Therapy Assistant | 31648 Boulder Vista Dr, Lake Elsinore, CA 92532-0109 | 2016-03-10 |
| 1679117725 | Megha Pravin Patel | Student in an Organized Health Care Education/Training Program | 11 Volta Del Tintori St, Lake Elsinore, CA 92532-0143 | 2019-11-01 |
| Find all providers in zip 92532 | ||||
| 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 |
|---|---|---|---|---|
| 1811462534 | Amit Shah & Aarti Puri D.d.s Inc | Dentist | 31762 Mission Trl # 1, Lake Elsinore, CA 92530-4545 | 2018-10-09 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1619402716 | Ghorbanian Dds, Vii, Inc Castillo G Dental Corp | Dentist | 31739 Riverside Dr Ste C, Lake Elsinore, CA 92530-7818 | 2017-04-26 |
| 1508218017 | S.p.levi,dds, Inc. | Dentist | 32235 Mission Trl Ste 8, Lake Elsinore, CA 92530-4527 | 2016-07-08 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1780096636 | Western Dental Services, Inc. | Dentist | 31960 Mission Trl, Lake Elsinore, CA 92530-4539 | 2014-05-27 |
| 1952745895 | Khaled Eissa Dds Inc | Dentist | 31737 Riverside Dr Ste B, Lake Elsinore, CA 92530-7890 | 2013-04-22 |
| 1982911194 | Marsha Tavakoli Levi | Dentist | 32235 Mission Trl, Suite 8, Lake Elsinore, CA 92530-4527 | 2010-09-09 |
| 1225358161 | Naznin S Bholat | Dentist | 31581 Canyon Estates Dr Ste 201, Lake Elsinore, CA 92532-0412 | 2010-06-02 |
| 1710178884 | Dr. Zhang's Dental Office | Dentist | 2503 E Lakeshore Dr, Suite E, Lake Elsinore, CA 92530-4433 | 2007-08-05 |
| Find all providers in LAKE ELSINORE | ||||
| City | LAKE ELSINORE |
| Zip Code | 92532 |
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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.