HOANG, NGUYEN, & LU DENTAL CORP (NPI# 1548828221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548828221 |
| Entity Type | Organization |
| Organization Name | HOANG, NGUYEN, & LU DENTAL CORP |
| Practice Address |
9912 Carmel Mountain Rd Ste B San Diego CA 92129-2808 |
| Practice Telephone | 8585389182 |
| Mailing Telephone | 8585389182 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | DR. ANDY T HOANG (PRESIDENT) |
| Authorized Official Telephone | 8585389182 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Rancho Dental Care | Doing Business As Name - Organization |
| Street Address |
9912 CARMEL MOUNTAIN RD STE B |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92129-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124425830 | Penasquitos Dental | Dentist | 9912 Carmel Mountain Rd Ste B, San Diego, CA 92129-2808 | 2014-11-24 |
| 1124510482 | Daniel Mark Blanco | Dentist | 9912 Carmel Mountain Rd Ste B, San Diego, CA 92129-2808 | 2018-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053836718 | Emily Anne Haven | Physical Therapist | 9351 Vervain Street, San Diego, CA 92129 | 2017-08-03 |
| 1366802944 | Katie Nguyen | Pharmacist | 13014 Lemon Pine Ct, San Diego, CA 92129 | 2016-02-25 |
| 1588029912 | Larry Labossiere II | Registered Nurse | 8195 Torrey Gardens Place, San Diego, CA 92129 | 2015-12-30 |
| 1184034746 | Jim S Chang | Dentist | 12798 Rancho Penasquitos Blvd # 1, San Diego, CA 92129 | 2014-05-05 |
| 1841627593 | John Richard Codington | Dentist | 9728 Carmel Mountain Ro., Suite B, San Diego, CA 92129 | 2013-09-26 |
| 1407298284 | Michael Saade | Dentist | 9310 Carmel Mountain Rd Ste A, San Diego, CA 92129 | 2013-07-22 |
| 1801141338 | Satnick Chiropractic | Acupuncturist | 12880 Rancho Penasquitos Blvd, Steb, San Diego, CA 92129 | 2012-07-20 |
| 1558627463 | Louise Jeremia Gatchalian Angelo | Student in an Organized Health Care Education/Training Program | 9434 Twin Trails Dr, Unit 201, San Diego, CA 92129 | 2012-04-04 |
| 1093965477 | Joanne C Vargas-velasco | Dentist | 12580 Ragweed Street, San Diego, CA 92129 | 2008-09-23 |
| 1699960377 | Robert B Case | Social Worker | 12602 Spindletop Rd, San Diego, CA 92129 | 2007-09-06 |
| Find all providers in zip 92129 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| 1346506201 | Jonathan Joseph Shelton | Dentist | 6386 Alvarado Ct Ste 110, San Diego, CA 92120 | 2012-04-04 |
| 1326350851 | Payam Afzali | Dentist | 11962 Stoney Peak Dr Apt 1222, San Diego, CA 92128-6483 | 2010-07-13 |
| 1487965828 | Mehdi B Matin | Dentist | 4910 Directors Pl Ste 300, San Diego, CA 92121-3816 | 2010-06-30 |
| 1801125794 | Robert Henry Miner | Dentist | 12686 Picrus St, San Diego, CA 92129-4121 | 2009-12-24 |
| 1629205174 | Marc Dentico-olin | Dentist | 501 Washington St Ste 710, San Diego, CA 92103-2231 | 2009-06-11 |
| 1225272339 | Ruben Dario Ramirez | Dentist | 8008 Frost Street, Suite 311, San Diego, CA 92123 | 2009-04-21 |
| 1932352796 | Daniel S Witcher | Dentist | 4747 Orten St, San Diego, CA 92110-1322 | 2008-10-24 |
| 1669592853 | Raymichael Smith | Dentist | 16466 Bernardo Center Dr Ste 177, San Diego, CA 92128-2522 | 2007-03-30 |
| 1104962190 | Arshiya Sharafi | Dentist | 4910 Directors Pl, 301, San Diego, CA 92121-3811 | 2007-01-29 |
| Find all providers in SAN DIEGO | ||||
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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.