F.PAKRAVAN DENTAL CORPORATION (NPI# 1508089889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508089889 |
| Entity Type | Organization |
| Organization Name | F.PAKRAVAN DENTAL CORPORATION |
| Other Organization Name | DENTAL GROUP OF CLOVIS |
| Practice Address |
200 W Shaw Ave Suite 110 Clovis CA 93612-3684 |
| Practice Telephone | 5593256161 |
| Practice Fax Number | 5593256166 |
| Mailing Telephone | 5593256161 |
| Mailing Fax Number | 5593256166 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FARID PAKRAVAN (OWNER) |
| Authorized Official Telephone | 5593256161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
39862 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| DENTAL GROUP OF CLOVIS | Doing Business As Name - Organization |
| Street Address |
200 W SHAW AVE SUITE 110 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-3684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255414017 | Daniel Thomas Ladeairous | Chiropractor | 200 W Shaw Ave, #114, Clovis, CA 93612-3684 | 2006-10-23 |
| 1710532387 | Daniel & Max LLC | Optometrist | 200 W Shaw Ave, Clovis, CA 93612-3684 | 2019-08-09 |
| 1043456221 | Desiree Vazquez | Dental Assistant | 200 W Shaw Ave, Suite 110, Clovis, CA 93612-3684 | 2008-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| 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 |
|---|---|---|---|---|
| 1669087623 | Eduardo Meza Prieto | Dentist | 1315 Shaw Ave Ste 102, Clovis, CA 93612-3963 | 2020-09-15 |
| 1588279723 | Akram Abdo Saad | Dentist | 362 N Matisse Ln, Clovis, CA 93611-6188 | 2020-09-14 |
| 1063023158 | Lovik Mirzaeian Dds Inc. | Dentist | 1592 Shaw Ave, Clovis, CA 93611-4028 | 2020-08-12 |
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1013567882 | Kawano Dental | Dentist | 149 N. Clovis Ave., Suite 101, Clovis, CA 93612-9361 | 2019-09-13 |
| 1639736762 | Ozder Dental Corporation | Dentist | 1330 Shaw Ave, Clovis, CA 93612-3985 | 2019-05-23 |
| 1417477480 | Christian Lopez Cornejo | Dentist | 334 Shaw Ave Ste 103, Clovis, CA 93612-3839 | 2017-06-21 |
| 1194107565 | Shenye He | Dentist | 600 Texas St, Suite #c, Clovis, NM 88101-9410 | 2015-06-22 |
| 1356749311 | Ronald Walker Jr. | Dentist | 1095 Herndon Ave # 102, Clovis, CA 93612-0504 | 2014-12-08 |
| 1184025512 | Derek Yoshi Kawano | Dentist | 180 W Bullard Ave, Suite 101, Clovis, CA 93612-0900 | 2014-09-04 |
| Find all providers in CLOVIS | ||||
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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.