S. JANG DDS INCORPORATED (NPI# 1790295632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790295632 |
Entity Type | Organization |
Organization Name | S. JANG DDS INCORPORATED |
Other Organization Name | SMILE TIME DENTAL |
Practice Address |
500 Auburn Folsom Rd Ste 330b Auburn CA 95603-5645 |
Mailing Address |
2260 E Bidwell St Suite # 359 Folsom CA 95630-3555 |
Practice Telephone | 9169844224 |
Mailing Telephone | 9167816550 |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |
Authorized Official Name | MEGAN CASTILLO (BUSINESS MANAGER) |
Authorized Official Telephone | 9167816550 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Other Name | Type Code |
---|---|
Smile Time Dental | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598234098 | S. Jang Dds Incorporated | Dentist | 825 E Bidwell St Ste 400d, Folsom, CA 95630-4207 | 2018-11-14 |
1962986356 | S. Jang Dds Incorporated | Dentist | 6406 Sunrise Blvd Ste C, Citrus Heights, CA 95610-5992 | 2018-09-20 |
1922513811 | S. Jang Dds Incorporated | Dentist | 1955 W Texas St Ste 2b, Fairfield, CA 94533-4462 | 2017-12-13 |
1598277550 | S. Jang Dds Incorporated | Dentist | 9130 Alcosta Blvd Ste A2, San Ramon, CA 94583-3849 | 2017-10-31 |
1750772828 | S. Jang Dds Incorporated | Dentist | 9184 E Stockton Blvd Ste B, Elk Grove, CA 95624-9510 | 2015-02-11 |
1831560796 | S. Jang Dds Incorporated | Dentist | 3840 El Dorado Hills Blvd, 203, El Dorado Hills, CA 95762 | 2015-10-16 |
1447634373 | S. Jang Dds Incorporated | Dentist | 7227 29th St, Sacramento, CA 95822-5005 | 2015-07-09 |
1841681913 | S. Jang Dds Incorporated | Dentist | 731 Sterling Pkwy, Suite # 100, Lincoln, CA 95648-7306 | 2015-02-11 |
1205226875 | S. Jang Dds Incorporated | Dentist | 2260 E Bidwell St, # 110, Folsom, CA 95630-3463 | 2015-02-03 |
1942690516 | S. Jang Dds Incorporated | Dentist | 2241 Sunset Blvd, # E, Rocklin, CA 95765-4295 | 2015-02-03 |
Street Address |
500 AUBURN FOLSOM RD STE 330B |
City | AUBURN |
State | CA |
Zip Code | 95603-5645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
Find all providers in zip 95603 |
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 |
---|---|---|---|---|
1497933253 | East Alabama Pediatric Dentistry & Orthodontics | Dentist | 742 N Dean Rd, Auburn, AL 36830-4300 | 2008-02-04 |
1063618528 | Auburn Pediatric Dentistry | Dentist | 841 North Dean Road, Auburn, AL 36830 | 2007-06-22 |
1760683577 | David Mark Seman | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2007-05-30 |
1538225933 | Tavallaei, D.m.d., Corporation | Dentist | 500 Auburn Folsom Rd, Suite330, Auburn, CA 95603 | 2006-12-29 |
1528148236 | Charles Rew Greenleaf Sr. | Dentist | 841 North Dean Rd., Auburn, AL 36830 | 2006-10-17 |
1659801470 | Paolo A. Poidmore and Brian C. Crawford, A Dental Corporation | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2017-06-14 |
1023408721 | S.y. Jang Dds Corporatiom | Dentist | 500 Auburn Folsom Rd, # 330, Auburn, CA 95603-5645 | 2015-02-02 |
1962797217 | Abraham Jordan Priestley | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2011-06-15 |
1144556127 | J. Lothyan, D.d.s., P.l.l.c. | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-10-26 |
1942533351 | Kent Nuttall Dmd Ps | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-09-16 |
Find all providers in AUBURN |
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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.