SYCAMORE FAMILY DENTISTRY (NPI# 1487969028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487969028 |
| Entity Type | Organization |
| Organization Name | SYCAMORE FAMILY DENTISTRY |
| Practice Address |
1581 Sycamore Ave Suite 3 Hercules CA 94547-1700 |
| Practice Telephone | 5107992900 |
| Practice Fax Number | 5107992902 |
| Mailing Telephone | 5107992900 |
| Mailing Fax Number | 5107992902 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |
| Authorized Official Name | DR. ELMER SANTOS DE LEON (PRESIDENT/CEO) |
| Authorized Official Telephone | 5107992900 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
55619 | CA | Dental Providers |
| Street Address |
1581 SYCAMORE AVE SUITE 3 |
| City | HERCULES |
| State | CA |
| Zip Code | 94547-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487864492 | Elmer De Leon | Dentist | 1581 Sycamore Ave, Suite 3, Hercules, CA 94547-1700 | 2007-05-22 |
| 1154751220 | Zander Lin Dental Corporation | Dentist | 1581 Sycamore Ave, Ste 3, Hercules, CA 94547-1700 | 2013-11-26 |
| 1376841460 | Milner & Lau Optometric Corporation | Optometrist | 1581 Sycamore Ave, Suite 10, Hercules, CA 94547-1700 | 2011-03-14 |
| 1306175492 | Zander Lin | Dentist | 1581 Sycamore Ave, Ste #3, Hercules, CA 94547-1700 | 2009-12-18 |
| 1073742219 | Garrett Tyler Milner | Optometrist | 1581 Sycamore Ave, Suite 10, Hercules, CA 94547-1700 | 2009-07-09 |
| 1285820530 | Dung Optometric Group | Optometrist | 1581 Sycamore Ave, Suite 10, Hercules, CA 94547-1700 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
| 1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
| 1396171526 | Yeun Joo Kim | Dentist | 9 Arete Court, Hercules, CA 94547 | 2013-09-19 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
| Find all providers in zip 94547 | ||||
| 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 |
|---|---|---|---|---|
| 1902338130 | Narita Lim Leong | Dentist | 500 Alfred Nobel Dr Ste 165, Hercules, CA 94547-1842 | 2017-03-28 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902958044 | Thang Duc Nguyen | Dentist | 500 Alfred Nobel Dr Ste 285, Hercules, CA 94547-1844 | 2007-01-17 |
| 1851465769 | Mencita Dabu Masangkay | Dentist | 500 Alfred Nobel Dr Ste 145, Hercules, CA 94547-1839 | 2006-11-20 |
| 1669945309 | Ashley Huong Ho Dmd Inc | Dentist | 500 Alfred Nobel Dr Ste 165, Hercules, CA 94547-1842 | 2019-01-04 |
| 1437600723 | Sarabjeet Singh | Dentist | 500 Alfred Nobel Dr, 130, Hercules, CA 94547-1838 | 2016-10-21 |
| 1225588395 | Mencita Dabu Masangkay Dmd Inc. | Dentist | 500 Alfred Nobel Dr, Suite 145, Hercules, CA 94547-1838 | 2016-10-12 |
| 1487056941 | Gretchen S. Gadwood, D.d.s., Inc. | Dentist | 500 Alfred Nobel Dr., #155, Hercules, CA 94547 | 2014-09-16 |
| 1306175492 | Zander Lin | Dentist | 1581 Sycamore Ave, Ste #3, Hercules, CA 94547-1700 | 2009-12-18 |
| Find all providers in HERCULES | ||||
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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.