WOLF AND BEAR DENTAL CARE LLC (NPI# 1497115547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497115547 |
| Entity Type | Organization |
| Organization Name | WOLF AND BEAR DENTAL CARE LLC |
| Practice Address |
3023 Bunker Hill St Ste 105 San Diego CA 92109-5706 |
| Practice Telephone | 4253062579 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | STEVEN DELISLE (OWNER) |
| Authorized Official Telephone | 4253062579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
Dental Providers |
| Street Address |
3023 BUNKER HILL ST STE 105 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780247155 | M. Johnson Dental Corporation | Voluntary or Charitable | 3023 Bunker Hill St Ste 105, San Diego, CA 92109-5706 | 2019-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1740770650 | Jana Sabo Dds Inc | Dentist | 1196 Valencia St Unit 106, San Francisco, CA 94110-3027 | 2018-05-16 |
| 1124524236 | Kristin Chino | Dentist | 225 4th Ave Apt 204, Venice, CA 90291-8607 | 2018-04-05 |
| 1245680271 | Ryan Cheung | Dentist | 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 | 2016-06-21 |
| 1245687706 | Wonil Edward Jung | Dentist | 14320 Ventura Blvd, Ste 223, Sherman Oaks, CA 91423-2717 | 2016-05-15 |
| 1861848152 | Phelon Rammell | Dentist | 24837 Tulip Ave, Loma Linda, CA 92354-3405 | 2016-05-05 |
| 1871964742 | Rachelle Kim | Dentist | 25246 Barton Rd Apt 8, Loma Linda, CA 92354-3055 | 2015-10-16 |
| 1346651262 | Stephen Cotter | Dentist | 3909 Sierra Linda Dr, Escondido, CA 92025-7653 | 2014-05-13 |
| 1396185369 | George Jaber | Dentist | 4804 Mission St Ste 123, San Francisco, CA 94112-3469 | 2013-07-04 |
| 1669810347 | Unyong Kim | Dentist | 11943 Prospect Hill Dr, Gold River, CA 95670-7528 | 2013-06-04 |
| Find all providers with the same taxonomy | ||||
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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.