WESTERN DENTAL SERVICES, INC (NPI# 1811186463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811186463 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC |
| Practice Address |
1560 W Lacey Blvd Ste 107 Hanford CA 93230-3587 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 5595896301 |
| Practice Fax Number | 5595896312 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | PREET TAKKAR (CHIEF INFORMATION OFFICER) |
| Authorized Official Telephone | 7145713372 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G92150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952727281 | Western Dental Services, Inc | Dentist | 2200 W Beverly Blvd Ste 400, Montebello, CA 90640-2302 | 2014-03-11 |
| 1235563495 | Western Dental Services, Inc | Dentist | 730 Woollomes Ave, Suite 101-102, Delano, CA 93215-9550 | 2013-08-23 |
| 1639467061 | Western Dental Services, Inc | Dentist | 780 1st St, Gilroy, CA 95020-4972 | 2011-07-19 |
| 1912298431 | Western Dental Services, Inc | Dentist | 1310 Churn Creek Rd, Suite E3 - E4, Redding, CA 96003-4004 | 2011-05-02 |
| 1295025898 | Western Dental Services, Inc | Dentist | 1110 S King Rd, Suite 60, San Jose, CA 95122-2118 | 2011-04-15 |
| 1205004124 | Western Dental Services, Inc | Dentist | 19071 Bear Valley Rd., Suite #1, Apple Valley, CA 92308-6709 | 2008-02-13 |
| 1154677763 | Western Dental Services, Inc | Dentist | 4100 S El Camino Real, San Mateo, CA 94403-5131 | 2012-08-01 |
| 1710266887 | Western Dental Services, Inc | Dentist | 1260 Trancas St, Napa, CA 94558-2910 | 2011-08-08 |
| 1871883090 | Western Dental Services, Inc | Dentist | 4242 Beverly Blvd, Los Angeles, CA 90004-4430 | 2011-04-08 |
| Street Address |
1560 W LACEY BLVD STE 107 |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-3587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225524564 | Min Young Hong | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2018-07-10 |
| 1245725381 | Timothy Kim | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| 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 |
|---|---|---|---|---|
| 1831581537 | Edgar D. Roque, D.d.s., Inc | Dentist | 719 N Douty St, Hanford, CA 93230-3986 | 2015-03-04 |
| 1629498654 | Hae-jung Kim | Dentist | 307 Mall Dr Ste 101, Hanford, CA 93230 | 2014-04-17 |
| 1902112527 | Me Her-ellison | Dentist | 1222 N Douty St, Hanford, CA 93230-3449 | 2010-08-19 |
| 1881897452 | Cheol H. Yu | Dentist | 210 N 11th Ave, Suite #101, Hanford, CA 93230-4590 | 2007-06-08 |
| 1497962054 | Lee Francis Peterson | Dentist | 987 N Irwin St, Hanford, CA 93230-3817 | 2007-05-16 |
| 1790904357 | Robert Douglas Matsumoto | Dentist | 114 W Ivy St, Hanford, CA 93230-3820 | 2007-04-24 |
| 1669511580 | Peggy R Warnock | Dentist | 989 N Irwin St, Hanford, CA 93230 | 2007-02-06 |
| 1194871038 | Western Dental Services, Inc. | Dentist | 210 N 11th Ave Ste 101, Hanford, CA 93230-4591 | 2007-01-25 |
| 1093322356 | Alyssa Nicole Avila | Dentist | 1331 W Lacey Blvd, Hanford, CA 93230-5904 | 2020-09-29 |
| 1760097638 | Anthony Yen | Dentist | 250 W 5th St, Hanford, CA 93230-5029 | 2020-09-08 |
| Find all providers in HANFORD | ||||
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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.