DR. UBONWAN SAE-UNG (NPI# 1750700456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750700456 |
Entity Type | Individual |
Full Name | DR. UBONWAN SAE-UNG |
Other Name | DR. JJ SAE-UNG |
Credential | DDS |
Practice Address |
290 N Wayte Ln Fresno CA 93701-2124 |
Mailing Address |
430 N Larch St Ste 6 Lansing MI 48912-1283 |
Practice Telephone | 5594595725 |
Mailing Telephone | 5175747935 |
Mailing Fax Number | 5174852944 |
Enumeration Date | 2014-04-09 |
Last Update Date | 2017-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2901021203 | MI | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1750700456 | 05 |
Street Address |
290 N WAYTE LN |
City | FRESNO |
State | CA |
Zip Code | 93701-2124 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780680611 | Irene R Sanchez | Nurse Practitioner | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2005-06-24 |
1033730593 | Ashley Robbins | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-05-06 |
1639790298 | Benjamin Koppel | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-05-05 |
1770103111 | Weijian Genry Lung | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-04-24 |
1588284350 | Claudia Garcia | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-04-22 |
1114553831 | Scott Matthew Evans | Pharmacist | 290 N Wayte Ln, Pharmacy 1st Floor, Suite 1500, Fresno, CA 93701-2124 | 2020-03-13 |
1225546575 | Family Healthcare Network | Clinic/Center | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2018-01-19 |
1366969990 | Leanne Wakefield | Social Worker | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2017-08-24 |
1881129690 | Leeann Toshie Sakamoto Cunningham | Registered Nurse | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2017-04-29 |
1134653017 | Janette Chung | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Suite 2500, Fresno, CA 93701-2124 | 2017-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
Find all providers in zip 93701 |
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 |
---|---|---|---|---|
1932715711 | Jesse Rosete | Dentist | 7125 N Chestnut Ave Ste 107, Fresno, CA 93720-0358 | 2020-09-17 |
1609403500 | Lindsay S Takeda Dds Inc | Dentist | 1394 E Alluvial Ave Ste 104, Fresno, CA 93720-2696 | 2020-03-23 |
1144788910 | Ravinder Kaur | Dentist | 2676 N Cecelia Ave, Fresno, CA 93722-6866 | 2019-03-11 |
1104381110 | Diana Correavelosa Dds Inc | Dentist | 7614 N Fresno St Ste 105, Fresno, CA 93720-7406 | 2019-02-04 |
1396209821 | Ehsan Diab Dental Company Inc. | Dentist | 1665 W Shaw Ave Ste 103, Fresno, CA 93711-3508 | 2019-01-29 |
1174094734 | Mohammed Shafayetul Islam | Dentist | 2610 E Nees Ave Apt 133, Fresno, CA 93720-6016 | 2018-12-07 |
1073023172 | Jungsuk Suh | Dentist | 4747 N 1st St Ste 174, Fresno, CA 93726-0517 | 2017-10-03 |
1033632435 | Laine Alise Janzen | Dentist | 7730 N Fresno St Ste 101, Fresno, CA 93720-2408 | 2017-07-18 |
1710416847 | Leticia D Ramirez | Dentist | 3248 E Shields Ave Ste B, Fresno, CA 93726-6915 | 2017-06-12 |
1679008262 | Raymond M Cheung | Dentist | 7770 N Fresno St Ste 105, Fresno, CA 93720 | 2017-04-21 |
Find all providers in FRESNO |
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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.