R A PENMAN II, DDS A PROFESSIONAL DENTAL CORPORATION (NPI# 1710492954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710492954 |
| Entity Type | Organization |
| Organization Name | R A PENMAN II, DDS A PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
2123 S El Camino Real Oceanside CA 92054-6271 |
| Practice Telephone | 7605294649 |
| Practice Fax Number | 7605299645 |
| Mailing Telephone | 7605294649 |
| Mailing Fax Number | 7605299645 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Authorized Official Name | DR. RICHARD ALLAN PENMAN II (PRESIDENT) |
| Authorized Official Telephone | 7605294649 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
44056 | CA | Dental Providers |
| Street Address |
2123 S EL CAMINO REAL |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92054-6271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699837393 | Curtis Edward Mcrae | Dentist | 2123 S El Camino Real, Oceanside, CA 92054-6202 | 2006-12-16 |
| 1316232432 | Andrew K John Dds Inc | Dentist | 2123 S El Camino Real, Oceanside, CA 92054-6271 | 2011-06-16 |
| 1114163730 | Andrew K John | Dentist | 2123 S El Camino Real, Oceanside, CA 92054-6202 | 2009-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770613598 | Jose Angelo Ragon Vasquez | Dentist | 2420 Vista Way Ste 210, Oceanside, CA 92054-6190 | 2007-03-07 |
| 1598807489 | Roland Masayuki Buyama | Dentist | 101 S Nevada St, Oceanside, CA 92054-3036 | 2007-02-14 |
| 1982623757 | Ronald John Bills | Dentist | 3230 Waring Ct Ste Q, Oceanside, CA 92056-4509 | 2006-07-19 |
| 1114297785 | Vasquez Dental Corporation | Dentist | 2420 Vista Way Ste 210, Oceanside, CA 92054 | 2012-01-12 |
| 1376841361 | Kids Smile Pediatric Dentistry | Dentist | 3142 Vista Way Ste 305, Oceanside, CA 92056-3629 | 2011-03-01 |
| 1902138886 | Ali Manouchehri Dds Apc | Dentist | 3230 Waring Ct, Suite Q, Oceanside, CA 92056-4509 | 2010-02-03 |
| 1578725909 | Binita Chatur Katheria | Dentist | 3230 Waring Ct Ste Q, Oceanside, CA 92056-4509 | 2008-06-26 |
| 1255512299 | Pamela Lynn Sands | Dentist | 2882 Long Beach Rd, Oceanside, NY 11572-3114 | 2007-11-19 |
| 1184835233 | Roland M. Buyama, D.d.s., Inc. | Dentist | 101 S Nevada St, Oceanside, CA 92054-3036 | 2007-05-24 |
| 1609931336 | Barry Stephen Reder | Dentist | 3230 Waring Ct, Suite C, Oceanside, CA 92056-4509 | 2006-12-22 |
| Find all providers in OCEANSIDE | ||||
Please comment or provide details below to improve the information on R A PENMAN II, DDS A PROFESSIONAL DENTAL CORPORATION.
| 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.