WESTERN DENTAL SERVICES, INC. (NPI# 1659427771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659427771 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
2590 Sycamore Dr Antioch CA 94509-2909 |
| Practice Telephone | 9257761140 |
| Practice Fax Number | 9257761148 |
| Mailing Telephone | 9257761140 |
| Mailing Fax Number | 9257761148 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CINDY E AVALOS (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 | G90179-64 | 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 |
2590 SYCAMORE DR |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134295199 | Bassem Roshdy Saweres | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2006-11-28 |
| 1104191584 | Hany Samaan Faragallah | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2012-03-18 |
| 1134458177 | Mounir Nassif Guirguis | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2009-12-22 |
| 1376736801 | Nancy Ekram Elias | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2007-08-17 |
| 1659419752 | Thuy N. Pham | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2007-02-01 |
| 1487716510 | Farooq Ha Khan | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2006-12-14 |
| 1881754505 | Mircea Catalin Mitu | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2006-12-11 |
| 1912065038 | Stephen Yang | Dentist | 2590 Sycamore Dr, Antioch, CA 94509-2909 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1538729827 | Richland Creek Dental Group, Pllc | Dentist | 3538 Murfreesboro Pike Ste 305, Antioch, TN 37013-2580 | 2019-06-18 |
| 1043730997 | Tremayne L Richard | Dentist | 712 Saxony Lake Dr, Antioch, TN 37013-6701 | 2017-06-21 |
| 1063876274 | Nina Moslehi | Dentist | 3107 Lone Tree Way Ste A, Antioch, CA 94509-4959 | 2016-04-13 |
| 1811352545 | Rodrigo Martell | Dentist | 710 W 10th Street, Antioch, CA 94509-1561 | 2015-12-23 |
| 1487928214 | Wilma Pelaez Valerio | Dentist | 4847 Lone Tree Way, Antioch, CA 94531-8611 | 2012-02-24 |
| 1023380870 | Ana Cristina Lorenzana | Dentist | 716 W 10th St, Antioch, CA 94509-1561 | 2012-02-08 |
| 1447566369 | Mark F. Simkins | Dentist | 2730 Lone Tree Way Ste 2, Antioch, CA 94509-4964 | 2010-08-30 |
| 1942525357 | Concord Mills Family Dentistry Pllc | Dentist | 6438 Nolensville Pike, Antioch, TN 37013 | 2010-03-30 |
| 1235469628 | Valora C Legaspi | Dentist | 3379 Deer Valley Rd, Antioch, CA 94531-6664 | 2010-01-06 |
| 1578892915 | Heartland Dental Care of Tennessee, PC | Dentist | 1315 Bell Road, Antioch, TN 37013-3077 | 2009-12-14 |
| Find all providers in ANTIOCH | ||||
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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.