STAR DENTISTRY, A RACELIS DENTAL GROUP, INC. (NPI# 1497171961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497171961 |
| Entity Type | Organization |
| Organization Name | STAR DENTISTRY, A RACELIS DENTAL GROUP, INC. |
| Practice Address |
4300 San Pablo Dam Rd El Sobrante CA 94803-3002 |
| Practice Telephone | 5107588888 |
| Mailing Telephone | 5107588888 |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2014-03-08 |
| Authorized Official Name | MARIA ANGELES RACELIS (CEO) |
| Authorized Official Telephone | 5107588888 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
4300 SAN PABLO DAM RD |
| City | EL SOBRANTE |
| State | CA |
| Zip Code | 94803-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720291388 | Vincent Lim, Dds, Inc | Dentist | 4300 San Pablo Dam Rd, El Sobrante, CA 94803-3002 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680446 | Andrew Jaejun Lee | Acupuncturist | 3980 San Pablo Dam Rd Ste 205, El Sobrante, CA 94803 | 2018-05-21 |
| 1104343458 | Kayla Simone Fields | Counselor | 4892 San Pablo Dam Road, El Sobrante, CA 94803 | 2017-08-28 |
| 1104353101 | Paula Jean Armstrong | Marriage & Family Therapist | 754 El Centro Rd, El Sobrante, CA 94803 | 2017-05-22 |
| 1932538121 | Wayne Matecki | Acupuncturist | 448 Valley View Road Suite B, El Sobrante, CA 94803 | 2013-11-07 |
| 1093937617 | Francine C. Manuel | Physical Therapist | 627 El Centro Road, El Sobrante, CA 94803 | 2007-05-03 |
| 1144362955 | Damon Garfield Whitaker | Counselor | 3535 El Portial Dr. B203, El Sobrante, CA 94803 | 2007-02-12 |
| 1457841058 | Maria Sanchez Madlansacay | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2018-05-18 |
| 1801242110 | Omari Marzine Hudson | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-05-05 |
| 1891154431 | Nelly Sarahy Hernandez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-02-10 |
| 1356627814 | Claudia Adriana Martinez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2011-10-28 |
| Find all providers in zip 94803 | ||||
| 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 |
|---|---|---|---|---|
| 1811519531 | Arvil Reyes | Dentist | 3980 San Pablo Dam Rd Ste 202, El Sobrante, CA 94803-2816 | 2020-05-15 |
| 1912029471 | James Jonath Calata Canonizado | Dentist | 3550 San Pablo Dam Rd, Suite A6, El Sobrante, CA 94803-2796 | 2007-04-04 |
| 1457421752 | Dani Laksana | Dentist | 4426 Appian Way, El Sobrante, CA 94803-2208 | 2006-11-08 |
| 1619992492 | Rodica T. Popovici | Dentist | 4450 San Pablo Dam Rd, Suite D, El Sobrante, CA 94803-3053 | 2006-07-13 |
| 1699173153 | David Tawei Ting Dmd Apc | Dentist | 4426 Appian Way, El Sobrante, CA 94803-2208 | 2014-12-16 |
| 1194912576 | Kenneth Dimagmaliw Reyes | Dentist | 3980 San Pablo Dam Rd, Suite 202, El Sobrante, CA 94803-2840 | 2007-09-28 |
| 1427255736 | Andy Duong | Dentist | 4440 San Pablo Dam Rd, Suite C, El Sobrante, CA 94803-3052 | 2007-06-29 |
| 1174733869 | Randall R Stevenson | Dentist | 4440 San Pablo Dam Rd, Suite C, El Sobrante, CA 94803-3052 | 2007-05-23 |
| 1518187293 | Omera Naz | Dentist | 4440 San Pablo Dam Rd, Ste # A, El Sobrante, CA 94803-3052 | 2007-04-26 |
| 1962536748 | Alan Edward Hribar | Dentist | 3980 San Pablo Dam Rd, Suite 100, El Sobrante, CA 94803-2840 | 2007-03-15 |
| Find all providers in EL SOBRANTE | ||||
| City | EL SOBRANTE |
| Zip Code | 94803 |
Please comment or provide details below to improve the information on STAR DENTISTRY, A RACELIS DENTAL GROUP, INC..
| 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.