SHAILESH MANHARLAL BUTALA (NPI# 1689820128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689820128 |
| Entity Type | Individual |
| Full Name | SHAILESH MANHARLAL BUTALA |
| Credential | D.D.S |
| Practice Address |
744 E Holt Ave Pomona CA 91767-5601 |
| Practice Telephone | 9094692230 |
| Mailing Telephone | 9094692230 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 42281 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | 42281 | 01 |
| Street Address |
744 E HOLT AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| 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 |
|---|---|---|---|---|
| 1699285379 | Hyun-joo Kang | Dentist | 1887 Wright St, Pomona, CA 91766-1012 | 2017-10-06 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1033506282 | Awad and Moore Dental Corporation | Dentist | 2071 Rancho Valley Dr Ste 140, Pomona, CA 91766-7105 | 2015-04-24 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1881901619 | Kwang Jib Kim | Dentist | 594 N. Indian Hill Blvd., Pomona, CA 91767-5302 | 2010-08-31 |
| 1942478490 | Brent Fung | Dentist | 795 E 2nd St # 3016a, Pomona, CA 91766-2007 | 2008-02-19 |
| 1447431887 | M Laura De Lopez Dental Corp | Dentist | 1320 N Garey Avenue, Pomona, CA 91767 | 2007-11-14 |
| 1124141932 | Joshua D. Ilan | Dentist | 18 Thiells Mount Ivy Rd, Suite 1, Pomona, NY 10970-3020 | 2007-04-08 |
| 1407970817 | Estelle Hwei-wan Liou | Dentist | 1524 N Orange Grove Ave, Pomona, CA 91767-3812 | 2007-03-19 |
| 1639293855 | Peter R. Auster | Dentist | 1540 Rt. 202, Suite 14, Pomona, NY 10970 | 2007-03-16 |
| Find all providers in POMONA | ||||
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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.