PROCARE DENTAL - VICTORVILLE (NPI# 1790939262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790939262 |
| Entity Type | Organization |
| Organization Name | PROCARE DENTAL - VICTORVILLE |
| Practice Address |
12602 Amargosa Rd Suite D Victorville CA 92392-7640 |
| Practice Telephone | 7609519997 |
| Practice Fax Number | 7609629424 |
| Mailing Telephone | 7609519997 |
| Mailing Fax Number | 7609629424 |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |
| Authorized Official Name | DR. JOEY SORIANO TIRADOR (PRESIDENT AND CEO) |
| Authorized Official Telephone | 7609519997 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | PROCARE DENTAL - BARSTOW |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 50993 | CA | Dental Providers |
| Street Address |
12602 AMARGOSA RD SUITE D |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-7640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013117993 | Rosemarie Cristina P. Reyes Dds Inc. | Clinic/Center | 12602 Amargosa Rd, Ste. D, Victorville, CA 92392-7640 | 2007-07-19 |
| 1386909356 | Mary Maunglay | Radiology | 12602 Amargosa Rd, Victorville, CA 92392-7640 | 2012-07-05 |
| 1023253127 | Procare Dental Group | Dentist | 12602 Amargosa Rd, Suite 'd', Victorville, CA 92392-7640 | 2008-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364190 | B. Deirmenjian, D.d.s., Inc. | Dentist | 15366 Eleventh St Ste G, Victorville, CA 92395-3726 | 2019-12-23 |
| 1881112993 | Diana Dang | Dentist | 13792 Bear Valley Rd # 1, Victorville, CA 92392-8713 | 2017-09-08 |
| 1821543547 | Dahye Sung | Dentist | 14238 Valley Center Dr Ste 104, Victorville, CA 92395-4279 | 2016-08-23 |
| 1962956227 | Martina Assad | Dentist | 14689 Valley Center Dr Ste E101, Victorville, CA 92395-4200 | 2016-08-04 |
| 1760858153 | Yonghee Lee | Dentist | 12611 Hesperia Rd Ste C, Victorville, CA 92395-8307 | 2015-08-19 |
| 1649672163 | Alfred Paul Simpson Bell Dds, Inc. | Dentist | 12637 Hesperia Rd Ste A, Victorville, CA 92395-7774 | 2014-09-16 |
| 1700294725 | Han Kyoung Choe Dds Inc | Dentist | 14707 7th St Ste 1, Victorville, CA 92395-4063 | 2014-07-23 |
| 1700219300 | Michael Paul Silva | Dentist | 14374 Borego Rd Apt 715, Victorville, CA 92392-6916 | 2013-08-19 |
| 1689007460 | Brian Chu, D.d.s., Inc. | Dentist | 14285 7th St, Victorville, CA 92395-4207 | 2013-08-15 |
| 1003258351 | Larina Chu | Dentist | 14285 Seventh St, Victorville, CA 92395-4207 | 2013-07-26 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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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.