YAHYA JABER DENTAL CORP (NPI# 1629213657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629213657 |
| Entity Type | Organization |
| Organization Name | YAHYA JABER DENTAL CORP |
| Practice Address |
12190 Perris Blvd Ste D Moreno Valley CA 92557-7422 |
| Practice Telephone | 9514860550 |
| Practice Fax Number | 9514860566 |
| Mailing Telephone | 9514860550 |
| Mailing Fax Number | 9514860566 |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |
| Authorized Official Name | DR. YAHYA SULIEMAN JABER (DOCTOR) |
| Authorized Official Telephone | 9514860550 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SAFEHEALTH LIFE INSURANCE COMPANY | 31785 | 01 |
| CA | UNITED CONCORDIA | 275395 | 01 |
| CA | DELTA DENTAL HEALTHY FAMILIES | B44184-01 | 01 |
| CA | BLUE CROSS BLUE SHIELD OF TENNESSEE | 2058225 | 01 |
| CA | DENTICAL | B44189-01 | 01 |
| Street Address |
12190 PERRIS BLVD STE D |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-7422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750501540 | Dae Won Lee | Dentist | 12190 Perris Blvd Ste D, Moreno Valley, CA 92557-7422 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700374741 | Michael L Luther D.d.s Inc | Clinic/Center | 24104 Sunnymead Blvd Ste C, Moreno Valley, CA 92553-7732 | 2018-04-25 |
| 1962811349 | Donald L Iman Dds Inc. | Clinic/Center | 23470 Olive Wood Plaza Dr Ste 170, Moreno Valley, CA 92553-5267 | 2014-08-11 |
| 1184030769 | Thanos Dds Inc | Clinic/Center | 24104 Sunnymead Blvd # C, Moreno Valley, CA 92553 | 2014-07-03 |
| 1184848673 | Majdi Oubeid Dds Inc | Clinic/Center | 24021 Alessandro, #120, Moreno Valley, CA 92553 | 2007-04-13 |
| 1649879636 | Young Sik Lim, Dds, Inc | Clinic/Center | 11481 Heacock St Ste 160, Moreno Valley, CA 92557-7906 | 2020-10-20 |
| 1548612856 | Dr. Deza's Dental Office Inc. | Clinic/Center | 23080 Alessandro Blvd Ste 201, Moreno Valley, CA 92553-9674 | 2016-07-11 |
| 1780030585 | Value Dental Centers Moreno Valley Ca - Rj Houchin Dental Practice Inc | Clinic/Center | 12721 Moreno Beach Dr, Moreno Valley, CA 92555-4411 | 2016-05-11 |
| 1801210570 | Robert R. Iannello, Dds, Inc. | Clinic/Center | 23940 Ironwood Ave, Suite C, Moreno Valley, CA 92557-7154 | 2014-02-14 |
| 1730320078 | Premal Naik Dental Corporation | Clinic/Center | 24941 Sunnymead Blvd, Moreno Valley, CA 92553-3701 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
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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.