WESTERN DENTAL SERVICES, INC. (NPI# 1518191006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518191006 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
555 S Sunrise Way Suite #400 Palm Springs CA 92264-7869 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 7603226061 |
| Practice Fax Number | 7603222018 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713698 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |
| Authorized Official Name | CINDY E. AVALOS (ASSISTANT MANAGER) |
| Authorized Official Telephone | 7144803000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150- | 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 |
555 S SUNRISE WAY SUITE #400 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92264-7869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245307420 | Richard Alexander | Dentist | 555 S Sunrise Way, Palm Springs, CA 92264-7869 | 2006-11-30 |
| 1730629239 | Jacqueline Talamantes Vega | Pharmacist | 555 S Sunrise Way, Palm Springs, CA 92264-7869 | 2017-03-02 |
| 1033487913 | David Bruce Irwin | Pharmacist | 555 S Sunrise Way, Suite 112-113, Palm Springs, CA 92264-7869 | 2011-12-07 |
| 1336426329 | Kevin J Mccullough | Pharmacist | 555 S Sunrise Way, Suite 112-113, Palm Springs, CA 92264-7869 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1538727466 | Sina Khanbabakhani | Dentist | 555 South Sunrise Way, Palm Springs, CA 92264 | 2019-06-05 |
| 1265971162 | Mark Jordan Agresor | Assisted Living Facility | 4425 Camino Parocela, Palm Springs, CA 92264 | 2017-02-13 |
| 1609329002 | Jeffrey Idica | Naturopath | 1775 E Palm Canyon Dr Ste 310, Palm Springs, CA 92264 | 2016-08-02 |
| 1609240605 | Brandon Hagar | Technician, Other | 3025 E Escoba Dr Apt 236, Palm Springs, CA 92264 | 2015-11-14 |
| 1861618852 | Jin Woo | Acupuncturist | 1001 S Palm Canyon Dr, Suite 105, Palm Springs, CA 92264 | 2007-04-18 |
| 1629114269 | Andrew Petras | Optometrist | 148 Eastlake Dr, Palm Springs, CA 92264 | 2007-01-30 |
| 1952453375 | Gina D Davis | Chiropractor | 4050 Airport Center Drive, Suite G, Palm Springs, CA 92264 | 2007-01-17 |
| 1548328834 | Michael R Gurk Ms Pt Apc | Physical Therapist | 1001 S Palm Canyon Drive, Ste 111, Palm Springs, CA 92264 | 2006-12-05 |
| 1750399747 | Lee Un A Professional Dental Corp | Dentist | 471 E Tahquitz Cyn Way #221, Palm Springs, CA 92264 | 2006-08-04 |
| Find all providers in zip 92264 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538727466 | Sina Khanbabakhani | Dentist | 555 South Sunrise Way, Palm Springs, CA 92264 | 2019-06-05 |
| 1366995326 | Natalie Le Dental Corporaion | Dentist | 5001 E Ramon Rd Ste 104, Palm Springs, CA 92264-1543 | 2016-07-26 |
| 1538529201 | Natalie Le Dental Corporation | Dentist | 5200 E Ramon Rd Ste H8, Palm Springs, CA 92264-3620 | 2016-02-24 |
| 1215396882 | Dianoris Lora | Dentist | 2100 Springdale Blvd, 211, Palm Springs, FL 33461-6385 | 2016-02-11 |
| 1003248824 | Idelbis Lago-sanchez | Dentist | 3729 Lake Worth Rd, Palm Springs, FL 33461-4033 | 2013-08-02 |
| 1346596665 | Tahimara Mesa | Dentist | 2763s Congress Ave, Palm Springs, FL 33461-2137 | 2012-07-24 |
| 1588992895 | Ayman Kamal El Raheb D.d.s.,inc. | Dentist | 267 E Tahquitz Canyon Way, Palm Springs, CA 92262-6432 | 2009-11-24 |
| 1083888150 | Bobby Lynn Butler | Dentist | 1304 E Sierra Way, Palm Springs, CA 92264-0301 | 2008-04-18 |
| 1528262383 | William Robert Chase | Dentist | 1140 N Indian Canyon Dr, Palm Springs, CA 92262-4872 | 2007-06-13 |
| 1043303746 | Sumabat Dental Corporation | Dentist | 285 S Palm Canyon Dr, D-7, Palm Springs, CA 92262-6355 | 2006-10-02 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92264 |
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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.