OHANA DENTAL HYGIENE PRACTICE (NPI# 1720362015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720362015 |
| Entity Type | Organization |
| Organization Name | OHANA DENTAL HYGIENE PRACTICE |
| Practice Address |
12562 Dale St Unit 30 Garden Grove CA 92841-4565 |
| Mailing Address |
9877 Chapman Ave Ste. D #413 Garden Grove CA 92841 |
| Practice Telephone | 7146388709 |
| Practice Fax Number | 7146388917 |
| Mailing Telephone | 7146388709 |
| Mailing Fax Number | 7146388917 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | KIMBERLY CRUZ (OWNER) |
| Authorized Official Telephone | 7146388709 |
| Authorized Official Credential | RDHAP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | HAP #354 | CA | Dental Providers |
| Street Address |
12562 DALE ST UNIT 30 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891081089 | Kimberly Lynn Cruz | Dental Hygienist | 12562 Dale St Unit 30, Garden Grove, CA 92841-4565 | 2011-06-26 |
| 1578851176 | Jennie Soi Phui | Dental Hygienist | 12562 Dale St Unit 30, Garden Grove, CA 92841-4565 | 2011-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033678487 | Quoc-hiep Phan Dao | Dental Hygienist | 13691 Cypress St, Garden Grove, CA 92843-3230 | 2019-03-15 |
| 1932608536 | Nardeen Anwar | Dental Hygienist | 13171 Balboa Ave Apt 1, Garden Grove, CA 92840-4450 | 2018-02-08 |
| 1073065058 | Jennifer Lee | Dental Hygienist | 8832 Dakota Ave, Garden Grove, CA 92844-2016 | 2016-10-26 |
| 1407225907 | Florie Vanessa Mancilla | Dental Hygienist | 10602 Chapman Ave #200, Garden Grove, CA 92840-4700 | 2015-09-15 |
| 1134557978 | Paula Phuong Nguyen | Dental Hygienist | 9002 Marylee Dr, Garden Grove, CA 92841-2405 | 2013-10-14 |
| 1487933701 | Ann H Bui | Dental Hygienist | 9877 Chapman Ave., Ste. D #140, Garden Grove, CA 92841 | 2011-08-04 |
| 1891081089 | Kimberly Lynn Cruz | Dental Hygienist | 12562 Dale St Unit 30, Garden Grove, CA 92841-4565 | 2011-06-26 |
| 1912144643 | Linh T Ho | Dental Hygienist | 10461 Hazard Ave, Garden Grove, CA 92843-5104 | 2009-01-16 |
| 1003389198 | Neelam Patel | Dental Hygienist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2019-01-10 |
| 1477029635 | Nadia Berenice Gutierrez | Dental Hygienist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2018-10-15 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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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.