TREVOR THOMAS DENTAL CORPORATION (NPI# 1639731888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639731888 |
| Entity Type | Organization |
| Organization Name | TREVOR THOMAS DENTAL CORPORATION |
| Practice Address |
460 N Mckinley St Ste 101 Corona CA 92879-3405 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 9515319693 |
| Practice Fax Number | 9519051704 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 3039520892 |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | TREVOR J THOMAS (OWNER) |
| Authorized Official Telephone | 9515319693 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Corona Modern Dentistry Dental Group | Doing Business As Name - Organization |
| Street Address |
460 N MCKINLEY ST STE 101 |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| 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 |
|---|---|---|---|---|
| 1811530488 | Adria Marcinkowski | Dentist | 13100 Magnolia Ave Ste B, Corona, CA 92879-5365 | 2019-10-25 |
| 1972155877 | Timothy Rhee Dds Professional Corporation | Dentist | 260 E Ontario Ave Ste 205, Corona, CA 92879-3507 | 2019-07-10 |
| 1437642220 | Cesar Steven Quezada | Dentist | 5530 99th St, Corona, NY 11368-3745 | 2018-06-07 |
| 1104356476 | 104 Dental, Pllc | Dentist | 10423 Roosevelt Avenue, Corona, NY 11368-2327 | 2017-06-19 |
| 1013453794 | Vasoya Dipakkumar Dds PC | Dentist | 301 W 6th St Ste 105, Corona, CA 92882-3304 | 2017-01-18 |
| 1003363243 | Juan Gerardo Martinez | Dentist | 490 N Main St Ste 207, Corona, CA 92878-3461 | 2016-09-06 |
| 1073965869 | Gerri Blick | Dentist | 10324 Roosevelt Ave Fl 2, Corona, NY 11368 | 2016-07-06 |
| 1316391303 | Michael I Saed | Dentist | 1074 W 6th St Ste 104, Corona, CA 92882-1639 | 2016-04-16 |
| 1760846950 | Rocio Palomino | Dentist | 3809 Junction Blvd Fl 2, Corona, NY 11368-2153 | 2016-04-13 |
| 1619330750 | Jalpa Patel, Dds, Inc | Dentist | 1380 W 6th St, Suite 103, Corona, CA 92882-3552 | 2016-04-05 |
| Find all providers in CORONA | ||||
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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.