S.Y. JANG DDS CORPORATIOM (NPI# 1497145197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497145197 |
| Entity Type | Organization |
| Organization Name | S.Y. JANG DDS CORPORATIOM |
| Other Organization Name | MAKE A SMILE |
| Practice Address |
3840 El Dorado Hills Blvd # 203 El Dorado Hills CA 95762-4567 |
| Mailing Address |
2260 E Bidwell St # 312 Folsom CA 95630-3463 |
| Practice Telephone | 9169410303 |
| 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 |
| 1023408721 | S.y. Jang Dds Corporatiom | Dentist | 500 Auburn Folsom Rd, # 330, Auburn, CA 95603-5645 | 2015-02-02 |
| 1477943173 | S.y. Jang Dds Corporatiom | Dentist | 3433 Arden Way, Sacramento, CA 95825-2018 | 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 |
3840 EL DORADO HILLS BLVD # 203 |
| City | EL DORADO HILLS |
| State | CA |
| Zip Code | 95762-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161607 | Michael Joseph Beretta | Physical Therapist | 3840 El Dorado Hills Blvd, Suite 202, El Dorado Hills, CA 95762-4567 | 2005-08-16 |
| 1831560796 | S. Jang Dds Incorporated | Dentist | 3840 El Dorado Hills Blvd, 203, El Dorado Hills, CA 95762 | 2015-10-16 |
| 1962715961 | Douglas H. Aaseby | Optometrist | 3840 El Dorado Hills Blvd, #103, El Dorado Hills, CA 95762-4567 | 2010-07-19 |
| 1114191954 | Wellpoint Urgent Care LLC | Family Medicine | 3840 El Dorado Hills Blvd, Suite 303, El Dorado Hills, CA 95762-4567 | 2008-04-14 |
| 1184780587 | Tavallaei, D.m.d., Corporation | Dentist | 3840 El Dorado Hills Blvd, Suite 203, El Dorado Hills, CA 95762-4567 | 2006-12-29 |
| 1093877763 | Krista Lynn Rainwaters | Chiropractor | 3840 El Dorado Hills Blvd, Ste. 201, El Dorado Hills, CA 95762-4567 | 2006-12-15 |
| 1497863930 | Ronald James Simms | Chiropractor | 3840 El Dorado Hills Blvd, Ste 101, El Dorado Hills, CA 95762-4567 | 2006-08-25 |
| 1154350510 | Nelson James Lee IIi | Chiropractor | 3840 El Dorado Hills Blvd, El Dorado Hills, CA 95762-4567 | 2006-06-30 |
| 1780674788 | Janice Lynn Glaser | Optometrist | 3840 El Dorado Hills Blvd, Suite 103, El Dorado Hills, CA 95762 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611163 | Melanie Kim Dental Corporation | Dentist | 3381 Bass Lake Rd, Suite 140, El Dorado Hills, CA 95762 | 2020-02-13 |
| 1063042083 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3383 Bass Lake Rd, El Dorado Hills, CA 95762 | 2020-01-17 |
| 1427557230 | California Joint & Spine, LLC | Clinic/Center | 8135 Saratoga Way, El Dorado Hills, CA 95762 | 2018-02-07 |
| 1871008433 | Claire Maurenn Goss | Psychologist | 5406 Da Vinci Drive, El Dorado Hills, CA 95762 | 2017-12-05 |
| 1275063000 | Melinda Diane Keeler | Marriage & Family Therapist | 1150 Sunfast Lane, 2, El Dorado Hills, CA 95762 | 2017-06-14 |
| 1205379021 | Lauren Marie Shanks Rigsbee | Physical Therapist | 4990 Hillsdale Circle # 100, El Dorado Hills, CA 95762 | 2016-11-28 |
| 1962825935 | Wendy Pickren | Psychologist | 1150 Suncast Lane, Suite 2, El Dorado Hills, CA 95762 | 2014-01-28 |
| 1588087597 | Edwards Everhart Dental | Dentist | 1192 Suncast Lane, Suite 3, El Dorado Hills, CA 95762 | 2014-01-27 |
| 1447694542 | Ksenia Voronina | Psychiatry & Neurology | 1020 Suncast Lane, St 108, El Dorado Hills, CA 95762 | 2013-04-19 |
| 1205188471 | Pirasteh Guity Shafe | Pediatrics | 5001 Gresham Dr, El Dorado Hills, CA 95762 | 2012-10-11 |
| Find all providers in zip 95762 | ||||
| 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 |
|---|---|---|---|---|
| 1043370448 | Jennifer Datwyler, Dmd, Inc | Dentist | 5009 Windplay Dr, Suite 1, El Dorado Hills, CA 95762 | 2006-12-08 |
| 1639175748 | Ryan C Wittwer | Dentist | 4420 Town Center Blvd Ste 220, El Dorado Hills, CA 95762-7137 | 2005-06-23 |
| 1003265729 | Jt Rawlins Dds Inc | Dentist | 5170 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9608 | 2016-06-03 |
| 1831560796 | S. Jang Dds Incorporated | Dentist | 3840 El Dorado Hills Blvd, 203, El Dorado Hills, CA 95762 | 2015-10-16 |
| 1184780587 | Tavallaei, D.m.d., Corporation | Dentist | 3840 El Dorado Hills Blvd, Suite 203, El Dorado Hills, CA 95762-4567 | 2006-12-29 |
| 1851487995 | Joseph T. Rawlins | Dentist | 4420 Town Center Blvd Ste 220, El Dorado Hills, CA 95762-7137 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
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.