SOUTH PASADENA GENERAL DENTISTRY INC


Address: 1506 Huntington Drive, South Pasadena, CA 91030
Phone: 6267992888

SOUTH PASADENA GENERAL DENTISTRY INC (NPI# 1831477124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831477124
Entity Type Organization
Organization Name SOUTH PASADENA GENERAL DENTISTRY INC
Other Organization Name COMMUNITY DENTAL INC.
Practice Address 1506 Huntington Drive
South Pasadena
CA 91030
Practice Telephone 6267992888
Practice Fax Number 6267993208
Mailing Telephone 6267992888
Mailing Fax Number 6267993208
Enumeration Date 2011-08-03
Last Update Date 2011-08-03
Authorized Official Name SUSAN LEUNG (DIRECTOR)
Authorized Official Telephone 6267992888
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
25783 CA Dental Providers

Other Provider/Organization Names

Other Name Type Code
Community Dental Inc. Former Legal Business Name - Organization

Office Location

Street Address 1506 HUNTINGTON DRIVE
City SOUTH PASADENA
State CA
Zip Code 91030

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306444674 Heather Marie Delman Marriage & Family Therapist 1425 Oneonta Knoll, So Pasadena, CA 91030 2020-10-09
1568986883 Richard Gonzalez Behavior Technician 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 2017-07-28
1366991150 Nereida Acosta Behavioral Analyst 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 2016-09-22
1043618192 Clelia Alonzo Specialist 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 2014-12-05
1740687359 Francisco Acosta Behavioral Analyst 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 2014-11-25
1700289030 James Y. Law Pharmacist 1678 Camino Lindo, S. Pasadena, CA 91030 2014-10-01
1760893994 Joanna Ku Rehabilitation Practitioner 1855 Hill Drive, South Pasadena, CA 91030 2014-05-09
1336568294 Sarah Sicher Psychiatry & Neurology 729 Mission St Ste 300, South Pasadena, CA 91030 2014-04-08
1265799530 Xiaodong Li Pathology 314 Monterey Rd Unit 14, South Pasadena, CA 91030 2012-04-11
1235364027 Mary Mu Larsen Acupuncturist 1015 Hope Street, Ste C, South Pasadena, CA 91030 2009-05-21
Find all providers in zip 91030

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598316267 Chenghua Cao Dentist 1211 Marengo Ave, South Pasadena, CA 91030-3901 2019-09-24
1205315074 Shannon Francis Harringer Dentist 1941 Huntington Dr Ste B, South Pasadena, CA 91030-4993 2018-08-12
1508213018 Charles Yates Dentist 813 Fair Oaks Ave, South Pasadena, CA 91030-2605 2016-05-16
1689870446 Nicole C Nguyen Dentist 292 Saint Albans Ave, South Pasadena, CA 91030-3516 2007-06-26
1932300415 Russell Rose Dentist 1426 Fair Oaks Ave, South Pasadena, CA 91030-3834 2007-05-30
1568677243 Kenneth Y. Yamanaka D.d.s.,inc. Dentist 1941 Huntington Dr Ste D, South Pasadena, CA 91030-5601 2007-05-14
1912020892 Mary L Lin Dentist 1016 Fair Oaks Ave, South Pasadena, CA 91030-3375 2007-04-07
1578680047 Jacqueline Cuajao Aguillon Dentist 1915 Fremont Ave, South Pasadena, CA 91030-4507 2007-03-22
1245362102 Richard Fuentes Dentist 1928 Huntington Dr, Suite #a, South Pasadena, CA 91030-4874 2007-03-09
1982734315 Johnston C Chu Dentist 2050 Huntington Dr Ste C, South Pasadena, CA 91030-4900 2007-03-06
Find all providers in SOUTH PASADENA

Competitor

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City SOUTH PASADENA
Zip Code 91030

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Dataset Information

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.

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