JW PROFESSIONAL DENTAL CORPORATION (NPI# 1790263713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790263713 |
| Entity Type | Organization |
| Organization Name | JW PROFESSIONAL DENTAL CORPORATION |
| Practice Address |
14785 Jeffrey Rd. Ste 200 Irvine CA 92618 |
| Mailing Address |
Po Box 50223 Irvine CA 92619-0223 |
| Practice Telephone | 9495026406 |
| Practice Fax Number | 9495026407 |
| Mailing Telephone | 9495026406 |
| Mailing Fax Number | 9495026407 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | DR. GRACE S. HAN (PRESIDENT) |
| Authorized Official Telephone | 9495026406 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
42322 | CA | Dental Providers |
| Street Address |
14785 JEFFREY RD. STE 200 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| 1407235658 | Sadaf Sahibzada | Marriage & Family Therapist | 7303 Telmo, Irvine, CA 92618 | 2015-05-20 |
| Find all providers in zip 92618 | ||||
| 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 |
|---|---|---|---|---|
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1467917161 | Lina Isabel Galofre II | Dentist | 27 Willow Tree Ln, Irvine, CA 92612-2253 | 2019-02-06 |
| 1508343237 | Arash Vahdati Nia | Dentist | 6203 Archway, Irvine, CA 92618-8835 | 2018-07-25 |
| 1689192072 | Charlene Tong | Dentist | 9070 Irvine Center Dr Ste 130, Irvine, CA 92618-4690 | 2017-09-06 |
| 1225574353 | Roxanna Baghai Dds. Inc | Dentist | 2500 Alton Pkwy Ste 110, Irvine, CA 92606-5032 | 2017-01-12 |
| 1346798311 | Suryah Habibi | Dentist | 208 Knollglen, Irvine, CA 92614-7490 | 2016-09-19 |
| 1760857536 | Dean Tan D.d.s., Inc | Dentist | 14785 Jeffrey Rd Ste 103, Irvine, CA 92618-0409 | 2015-12-04 |
| 1760854087 | Siavash Golaby Sanajany | Dentist | 17294 Citron, Irvine, CA 92612-2322 | 2015-10-26 |
| 1164806071 | Nuvo Dental of Irvine | Dentist | 22 Odyssey Ste 265, Irvine, CA 92618-7701 | 2015-07-10 |
| 1881085660 | Benjamin Melvin Khaw | Dentist | 20 Camellia, Irvine, CA 92620-1979 | 2015-02-14 |
| Find all providers in IRVINE | ||||
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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.