JUNG JUNG LIU (NPI# 1629195870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629195870 |
| Entity Type | Organization |
| Organization Name | JUNG JUNG LIU |
| Other Organization Name | ACADEMY DENTAL CENTER |
| Practice Address |
628 North Azusa Ave West Covina CA 91791 |
| Practice Telephone | 6269668408 |
| Practice Fax Number | 6269674557 |
| Mailing Telephone | 6269668408 |
| Mailing Fax Number | 6269674557 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | DR. STEPHANIE JUNG LIU (OWNER) |
| Authorized Official Telephone | 6269668408 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 122337253 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL DENTI CAL | G9075801 | 01 |
| Other Name | Type Code |
|---|---|
| Academy Dental Center | Doing Business As Name - Organization |
| Street Address |
628 NORTH AZUSA AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1780110312 | Yenmien Chen | Pharmacist | 5944 N Figueroa Ave, Los Angeles, CA 91791 | 2017-05-02 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| 1710245782 | Mark Chevy S Ledesma | Dentist | 319 N Azusa Ave., W Covina, CA 91791 | 2012-04-27 |
| 1508184920 | Elba Cecilia Olivares | Chiropractor | 743 S. Hillward Ave, West Covina, CA 91791 | 2010-05-10 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1548302748 | Mark Chevy S Ledesma Dds Inc | Dentist | 319 N Azusa Ave, W Covina, CA 91791 | 2007-02-13 |
| 1245381979 | Max G Smalls Jr. | Counselor | 1825 E. Thelborn Street, West Covina, CA 91791 | 2007-01-16 |
| Find all providers in zip 91791 | ||||
| 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 |
|---|---|---|---|---|
| 1972160083 | Banaria Dental Group Inc | Dentist | 1550 E. Amar Road Suite V, West Covina, CA 91792 | 2019-05-23 |
| 1114403300 | Nisarg Patel | Dentist | 360 S Glendora Ave Ste 1, West Covina, CA 91790-5939 | 2018-07-11 |
| 1346765070 | Mariechris Ancheta Sapinoso | Dentist | 3209 S Veronica Ave, West Covina, CA 91792-2345 | 2017-08-03 |
| 1942722269 | Victor Chow | Dentist | 662 S Sunset Ave Ste 102, West Covina, CA 91790-2806 | 2017-07-07 |
| 1144775602 | Javier Dentistry Dds Corp | Dentist | 266 S Glendora Ave, Unit A, West Covina, CA 91790-3042 | 2016-08-24 |
| 1275989659 | Marie Beverly Dizon | Dentist | 1516 Stardust Dr, West Covina, CA 91790-4558 | 2016-05-04 |
| 1518330331 | Elizabeth Reyes Baylon | Dentist | 555 S. California Ave., West Covina, CA 91790 | 2015-11-02 |
| 1356710727 | West Covina Dental Group | Dentist | 2700 E Workman Ave Ste A, West Covina, CA 91791-1628 | 2015-09-16 |
| 1003291642 | Sahawneh Dental Corporation | Dentist | 1400 W West Covina Pkwy, West Covina, CA 91790-2731 | 2015-07-24 |
| 1376937219 | Elizabeth Hsi | Dentist | 2360 S Azusa Ave, West Covina, CA 91792-1539 | 2015-03-27 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91791 |
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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.