WESTERN DENTAL SERVICES, INC. (NPI# 1609928449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609928449 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
1821 Concord Ave Concord CA 94520-2348 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 9258258900 |
| Practice Fax Number | 9258254412 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-01-18 |
| 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 | G90179-81 | 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 |
1821 CONCORD AVE |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992873913 | Preeti Dsouza | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2006-11-30 |
| 1295184489 | Samila Charkhezarrin | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2016-06-08 |
| 1477699916 | Gerald R. Novick | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2007-01-30 |
| 1184792467 | Shailaja Menon | Dentist | 1821 Concord Ave, Concord, CA 94520-2348 | 2006-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
| 1932729688 | O'brien and West Dmd, Ix, Pllc | Dentist | 40 Pitts School Rd Sw, Concord, NC 28027-2761 | 2020-04-23 |
| 1427698877 | Colin S. Ilas D.d.s. | Dentist | 2030 Diamond Blvd Ste 25, Concord, CA 94520-5753 | 2020-01-14 |
| 1396383345 | Isioma A Okonmah, D.d.s., M.p.h., P.a. Concord | Dentist | 538 Lake Concord Rd Ne, Concord, NC 28025-2926 | 2019-12-19 |
| 1740758044 | Armentha Prosper-chicas | Dentist | 8525 Pit Stop Ct Nw Ste A, Concord, NC 28027-8338 | 2018-11-05 |
| 1679065015 | Brian Patrick Ganley | Dentist | 290 Baker Ave Ste N224, Concord, MA 01742-2192 | 2018-06-01 |
| 1659899094 | Sachin Patel, D.d.s., A Professional Dental Corporation | Dentist | 2975 Treat Blvd Ste E2, Concord, CA 94518-3699 | 2017-09-06 |
| 1386173078 | Christina Marie Mccann | Dentist | 9 Triangle Park Dr Ste 9, Concord, NH 03301-5790 | 2017-06-07 |
| 1821520727 | Julie Haejung Chang | Dentist | 273 Loudon Rd, Concord, NH 03301 | 2017-03-30 |
| 1295196731 | John Edward Kempter Dds Pllc | Dentist | 1000 Copperfield Blvd Ne Ste 154, Concord, NC 28025-2454 | 2016-03-11 |
| Find all providers in CONCORD | ||||
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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.