WESTERN DENTAL SERVICES, INC. (NPI# 1639697568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639697568 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
1357 E Florence Ave Los Angeles CA 90001-1934 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 3238350444 |
| Mailing Telephone | 7145713653 |
| Mailing Fax Number | 7145716445 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Authorized Official Name | MARIBEL ZAMORA (ENROLLMENT COORDINATOR) |
| Authorized Official Telephone | 7145713104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G90179 | 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 |
1357 E FLORENCE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90001-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922171404 | Charles L. Foster Jr. Dds Inc. | Dentist | 1357 E Florence Ave, Los Angeles, CA 90001-1934 | 2006-11-15 |
| 1699265157 | Courtney M Clayton | Dentist | 1357 E Florence Ave, Los Angeles, CA 90001-1934 | 2018-05-10 |
| 1841503646 | Jerry L Lanier Dds Inc | Dentist | 1357 E Florence Ave, Los Angeles, CA 90001-1934 | 2010-07-21 |
| 1326237496 | Daniel Snipes | Dentist | 1357 E Florence Ave, Los Angeles, CA 90001-1934 | 2007-10-15 |
| 1235277526 | Charles Lionel Foster | Dentist | 1357 E Florence Ave, Los Angeles, CA 90001-1934 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722539 | Lisa Crockom | Technician | 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001 | 2019-10-24 |
| 1679047229 | Rosario Montes | Behavior Technician | 6907 Hooper Ave, Los Angeles, CA 90001 | 2019-01-16 |
| 1467902031 | Fun Dental 4 Kids 2 | Dentist | 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001 | 2016-10-07 |
| 1295100709 | Central City Community Health Center | Clinic/Center | 1236 E Florence Ave, Los Angeles, CA 90001 | 2015-12-09 |
| 1437596327 | Natasha Nasha Andrews | Clinic/Center | 1620 E. 83rd Street, Los Angeles, CA 90001 | 2013-05-31 |
| 1679827943 | Denise Michelle Betters | Counselor | 8019 S Compton Ave., Los Angeles, CA 90001 | 2012-11-07 |
| 1790050763 | Animo Locke Tech Charter High School | Community/Behavioral Health | 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001 | 2012-03-09 |
| 1093021602 | Larthia Renard Dunham | Social Worker | 8019 S. Compton Blvd., Los Angeles, CA 90001 | 2010-08-20 |
| 1114258761 | Central City Comm Hlt Ctr Mobile Unit | General Practice | 5986 Central Avenue, Los Angeles, CA 90001 | 2010-01-21 |
| 1457688517 | Yesenia Cruz | Dental Assistant | 1119 E 64th St., Los Angeles, CA 90001 | 2009-11-11 |
| Find all providers in zip 90001 | ||||
| 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 |
|---|---|---|---|---|
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1134729601 | Enas Tayyem | Dentist | 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 | 2020-10-26 |
| 1639776073 | Stephanie Jeanne Bauman | Dentist | 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 | 2020-10-08 |
| 1316544570 | Azzah Widatalla | Dentist | 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 | 2020-10-01 |
| 1104433796 | Irena Starchenko | Dentist | 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 | 2020-09-28 |
| 1134734353 | Mark Park | Dentist | 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 | 2020-09-14 |
| 1740895150 | Chantelle Aabedi | Dentist | 2711 Casiano Rd, Los Angeles, CA 90077-9007 | 2020-09-11 |
| 1801401542 | Yojeong Cho | Dentist | 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 | 2020-09-10 |
| 1518572247 | William Hwang | Dentist | 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 | 2020-09-10 |
| 1912511056 | Shervin Moshashaei | Dentist | 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 | 2020-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90001 |
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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.