GREENVALLEY ORAL CARE (NPI# 1831458637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831458637 |
| Entity Type | Organization |
| Organization Name | GREENVALLEY ORAL CARE |
| Practice Address |
3516 Martin Luther King Blvd. Suite 7 Lynwood CA 90262 |
| Practice Telephone | 3106397224 |
| Practice Fax Number | 3106393939 |
| Mailing Telephone | 3106397224 |
| Mailing Fax Number | 3106393939 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Authorized Official Name | RAFAEL A ANTILLON (DENTIST) |
| Authorized Official Telephone | 3106397224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 39747 | CA | Dental Providers |
| Street Address |
3516 MARTIN LUTHER KING BLVD. SUITE 7 |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| 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 |
|---|---|---|---|---|
| 1598327710 | Natasha Elloway | Dentist | 11035 Long Beach Blvd # 5, Lynwood, CA 90262-2570 | 2019-07-09 |
| 1427576313 | Western Dental Services, Inc. | Dentist | 10900 Long Beach Blvd Ste 105, Lynwood, CA 90262-2686 | 2017-08-31 |
| 1841601192 | Erika Gomez | Dentist | 3737 Martin Luther King Blvd, Suite 106, Lynwood, CA 90262-3524 | 2014-05-08 |
| 1851537179 | Raymond M. Tash, Dds, Apc | Dentist | 9950 Long Beach Blvd, Lynwood, CA 90262-1503 | 2008-12-17 |
| 1487810685 | Dentist At Your Door LLC | Dentist | 19512 Sequoia Ave, Lynwood, IL 60411-6825 | 2008-08-06 |
| 1689897720 | Daniel Elenes | Dentist | 11330 Long Beach Blvd, Suite #100, Lynwood, CA 90262-3340 | 2007-04-10 |
| 1851417653 | Tsai, Hsiao & Loo Dental Corporation | Dentist | 3680 E. Imperial Hwy, #100, Lynwood, CA 90262-2663 | 2007-03-22 |
| 1760022511 | Sung Y. Lee Dmd Inc | Dentist | 9950 Long Beach Blvd, Lynwood, CA 90262-1503 | 2020-01-09 |
| 1437644150 | Kevin Abraham Elgrichi | Dentist | 3737 Martin Luther King Jr Blvd, Lynwood, CA 90262-3513 | 2018-06-25 |
| 1942741798 | Western Dental Services, Inc. | Dentist | 3680 E Imperial Hwy, Suite 100, Lynwood, CA 90262-2659 | 2017-03-13 |
| Find all providers in LYNWOOD | ||||
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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.