COMMUNITY DENTAL SERVICES (NPI# 1528130135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528130135 |
| Entity Type | Organization |
| Organization Name | COMMUNITY DENTAL SERVICES |
| Other Organization Name | SMILECARE DENTAL GROUP |
| Practice Address |
140 Stony Point Rd Ste A Santa Rosa CA 95401-4121 |
| Mailing Address |
2 Macarthur Pl Suite 700 Santa Ana CA 92707-5924 |
| Practice Telephone | 7075783118 |
| Practice Fax Number | 7075780812 |
| Mailing Telephone | 7147085308 |
| Mailing Fax Number | 7147085399 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ELAINE SALCIDO (CONTRACT SUPERVISOR) |
| Authorized Official Telephone | 7147085308 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| SmileCare Dental Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730414954 | Community Dental Services | Dentist | 12171 Central Ave, Chino, CA 91710-2421 | 2009-10-06 |
| 1144379785 | Community Dental Services | Dentist | 2 Macarthur Place, Santa Ana, CA 92707 | 2007-01-10 |
| 1326112558 | Community Dental Services | Dentist | 12125 Day St, Bldg N Suite 211, Moreno Valley, CA 92557-6702 | 2006-11-20 |
| 1356415582 | Community Dental Services | Dentist | 9130 Alcosta Blvd, San Ramon, CA 94583-3849 | 2006-11-20 |
| 1699849851 | Community Dental Services | Dentist | 10331 Sepulveda Blvd, Mission Hills, CA 91345-2421 | 2006-11-20 |
| 1013080712 | Community Dental Services | Dentist | Building 1333, Area 13, Camp Pendleton, CA 92505 | 2006-11-17 |
| 1386716082 | Community Dental Services | Dentist | 36416 Fremont Blvd, Fremont, CA 94536-7436 | 2006-11-15 |
| 1699847319 | Community Dental Services | Dentist | 520 N El Dorado St, Stockton, CA 95202-1906 | 2006-11-15 |
| 1164594768 | Community Dental Services | Dentist | 40620 Winchester Rd, Suite B, Temecula, CA 92591-5504 | 2006-11-15 |
| 1407928195 | Community Dental Services | Dentist | 22421 Hesperian Blvd, Hayward, CA 94541-7010 | 2006-11-15 |
| Street Address |
140 STONY POINT RD STE A |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689142572 | Yan Kalika Dental Corporation | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2018-11-08 |
| 1295202125 | Smile Country Dental | Clinic/Center | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2018-10-29 |
| 1396099115 | Olga Antipova | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2012-10-31 |
| 1770864548 | Harvinder Kaur Bhullar | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2011-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1487127486 | Evelyn Escobedo | Dentist | 2335 Summercreek Dr Apt 59, Santa Rosa, CA 95404-7761 | 2019-01-02 |
| 1053853242 | Stephanie Settimi Dds, Inc | Dentist | 2798 Yulupa Ave Ste 3, Santa Rosa, CA 95405-8570 | 2016-11-06 |
| 1720484835 | Sarah Gim | Dentist | 55 Mission Cir Ste 101, Santa Rosa, CA 95409-5372 | 2014-11-17 |
| 1477952182 | Stacey Diane Strong | Dentist | 95 Montgomery Address, Suite 106, Santa Rosa, CA 95404 | 2014-08-19 |
| 1225437254 | Sean Vreeburg | Dentist | 3599 Piner Rd, Santa Rosa, CA 95401-3916 | 2014-08-14 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1639510563 | Behnam Rostami | Dentist | 479 Stony Point Rd, Santa Rosa, CA 95401-5969 | 2013-07-08 |
| 1760821615 | Amanda Major | Dentist | 250 D St, Suite 200, Santa Rosa, CA 95404-4773 | 2013-06-24 |
| 1427398882 | Laura David Ellefson | Dentist | 1100 Sonoma Ave Ste A, Santa Rosa, CA 95405-8901 | 2013-02-22 |
| 1467798116 | Dental Corporation of Kelly A. Elward, Dds | Dentist | 1820 Sonoma Ave Ste 100, Santa Rosa, CA 95405-6617 | 2012-12-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on COMMUNITY DENTAL SERVICES.
| 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.