ELIAS & JUN DENTAL CORP


Address: 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105
Phone: 6264400099

ELIAS & JUN DENTAL CORP (NPI# 1548778541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548778541
Entity Type Organization
Organization Name ELIAS & JUN DENTAL CORP
Other Organization Name THE PACIFIC COAST CENTER FOR ORAL & FACIAL SURGERY
Practice Address 301 S. Fair Oaks Ave.
Ste 107
Pasadena
CA 91105
Practice Telephone 6264400099
Practice Fax Number 6264401002
Mailing Telephone 6264400099
Mailing Fax Number 6264401002
Enumeration Date 2018-01-12
Last Update Date 2018-01-12
Authorized Official Name DR. YOUNG JUN (VICE PRESIDENT)
Authorized Official Telephone 8182824021
Authorized Official Credential DDS, M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers
N 208200000X Plastic Surgery Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians
Y 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Pacific Coast Center for Oral & Facial Surgery Doing Business As Name - Organization

Office Location

Street Address 301 S. FAIR OAKS AVE.
STE 107
City PASADENA
State CA
Zip Code 91105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619451697 Tonya Michlin Registered Nurse 800 Fairmount Ave Ste 110, Pasadena, CA 91105 2018-09-17
1639674161 David Marcus Md, Inc. Psychiatry & Neurology 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 2018-03-27
1013429745 Whitney Catalano Dietitian, Registered 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 2017-11-03
1518485630 Marlon O Miller Counselor 1020 South Arroyo Parkway, Pasadena, CA 91105 2017-09-08
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1427598390 Melina Gomez Loza Licensed Vocational Nurse 66 Hilburt St #2, Pasadena, CA 91105 2017-02-27
1588115281 Ramon Banuelos Rehabilitation Practitioner 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 2016-10-18
1922554245 Daniel Joseph Ybarra Student in an Organized Health Care Education/Training Program 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 2016-08-28
1467803916 Tracey Dwyer Marriage & Family Therapist 220 Anita Dr, Pasadena, CA 91105 2016-06-27
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457983025 Olena Norris Dds Dental Corporation Oral & Maxillofacial Surgery 5060 California Ave Ste 202, Bakersfield, CA 93309-7087 2020-02-11
1306498829 Henry Mayo Newhall Clinics, LLC Oral & Maxillofacial Surgery 25751 Mcbean Pkwy Ste 220, Valencia, CA 91355-3701 2019-07-15
1396211926 Fremont Oral & Maxillofacial Surgery Oral & Maxillofacial Surgery 39210 State St Ste 115, Fremont, CA 94538-1456 2018-10-22
1013495985 Ned L. Nix, Dds, Inc Oral & Maxillofacial Surgery 704 Blossom Hill Rd Ste 102, San Jose, CA 95123-5403 2018-08-02
1811475759 University of California Sfgh Medical Group Oral & Maxillofacial Surgery 1001 Potrero Avenue, Bldg 5, Room 1n1, San Francisco, CA 94110-3518 2018-08-02
1235649690 Mac Dental Corporation Oral & Maxillofacial Surgery 9855 Erma Road, #110, Scripps Periodontics, San Diego, CA 92131 2017-10-11
1710354162 Michael J. Belton Dds,md Inc. Oral & Maxillofacial Surgery 2045 Compton Ave Ste 102, Corona, CA 92881-7293 2015-09-01
1508263740 F.a.c.e. Surgical Center of The Desert Oral & Maxillofacial Surgery 1900 E Tahquitz Canyon Way Ste C4, Palm Springs, CA 92262-7062 2014-12-03
1407114499 Niloofar Deyhim Oral & Maxillofacial Surgery 853 Middlefield Rd Ste 1, Palo Alto, CA 94301-2900 2012-04-26
1437479144 Brian Robert Carr Oral & Maxillofacial Surgery 521 Parnassus Ave # C-522, San Francisco, CA 94143-0440 2010-06-03
Find all providers with the same taxonomy

Competitor

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City PASADENA
Zip Code 91105

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Dataset Information

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.

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