WESTERN DENTAL SERVICES, INC. (NPI# 1508920448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508920448 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
115 Berkeley Sq Berkeley CA 94704-1206 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 5105408400 |
| Practice Fax Number | 5105400649 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARINA KING (PPO COORDINATOR) |
| Authorized Official Telephone | 7144803000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G90179-67 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
115 BERKELEY SQ |
| City | BERKELEY |
| State | CA |
| Zip Code | 94704-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033278882 | Lucy Tsai | Dentist | 115 Berkeley Sq, Berkeley, CA 94704-1206 | 2006-12-07 |
| 1659575207 | Paul I-chun Wang | Dentist | 115 Berkeley Sq, Berkeley, CA 94704-1206 | 2007-06-14 |
| 1740331289 | Angelica A Cabral | Dentist | 115 Berkeley Sq, Berkeley, CA 94704-1206 | 2007-01-12 |
| 1033270319 | Tam Dinh Tran | Dentist | 115 Berkeley Sq, Berkeley, CA 94704-1206 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1821617168 | Michelle Nagal Hunt | Behavior Technician | 2080 Addison Street, #302, Berkeley, CA 94704 | 2020-04-15 |
| 1366097081 | Sabrina Barnett | Behavior Technician | 2080 Addison St, #302, Berkeley, CA 94704 | 2019-08-08 |
| 1811559735 | Bonita House, Inc. | Community/Behavioral Health | 1909 University Ave, Berkeley, CA 94704 | 2019-07-01 |
| 1376014928 | Justin T Cooke | Specialist/Technologist | 2024 Durant Ave #508, Berkeley, CA 94704 | 2018-12-07 |
| 1972080158 | Cecilia Winfield | Student in an Organized Health Care Education/Training Program | 1918 University Ave., Suite 2b, Berkeley, CA 94704 | 2018-07-20 |
| 1952897332 | Jennifer Henry Henry | Naturopath | 2041 Bancroft Way #303, 2041 Bancroft Way, Berkeley, CA 94704 | 2018-07-09 |
| 1497267967 | Merlenet Michelle Riley | Counselor | 2640 Martin Luther King, Berkeley, CA 94704 | 2017-10-24 |
| 1265951719 | Caitlin Mary Mcdonough | Student in an Organized Health Care Education/Training Program | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-09-15 |
| 1922525120 | Patrice Werling | Counselor | 1918 University Avenue, Suite 2b, Berkeley, CA 94704 | 2017-08-28 |
| Find all providers in zip 94704 | ||||
| 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 |
|---|---|---|---|---|
| 1578177275 | S H Hokmabadi Inc | Dentist | 3085 Telegraph Ave, Berkeley, CA 94705-2035 | 2020-09-01 |
| 1053961797 | Andrew Kurtz | Dentist | 1313 Gilman St # A, Berkeley, CA 94706-2431 | 2019-09-15 |
| 1083138820 | Peter Daniel Fredrickson | Dentist | 2999 Regent St Ste 714, Berkeley, CA 94705-2122 | 2017-08-02 |
| 1568747400 | S Hokmabadi Dds Inc | Dentist | 3017 Telegraph Ave Ste 300, Berkeley, CA 94705-2049 | 2011-10-11 |
| 1790007094 | Howard Y Endo | Dentist | 2507 Ashby Ave, Berkeley, CA 94705-2205 | 2010-02-27 |
| 1477781573 | Jennifer H Cho | Dentist | 2915 Telegraph Ave Ste 303, Berkeley, CA 94705-2030 | 2009-06-26 |
| 1386842979 | Antonio M. Bistrain | Dentist | 2426 Webster St, Berkeley, CA 94705-2016 | 2007-07-05 |
| 1861698813 | David Yuezhong Li | Dentist | 3031 Telegraph Ave Ste 136a, Berkeley, CA 94705-2052 | 2007-06-26 |
| 1053526749 | Marjan Rusta | Dentist | 1313 Gilman St Ste A, Berkeley, CA 94706-2431 | 2007-05-14 |
| 1508079617 | Igor B. Yudin | Dentist | 2320 Woolsey St Ste 203, Berkeley, CA 94705-1975 | 2007-05-07 |
| Find all providers in BERKELEY | ||||
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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.