CORONA FAMILY DENTAL ASSOC PC (NPI# 1841389046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841389046 |
| Entity Type | Organization |
| Organization Name | CORONA FAMILY DENTAL ASSOC PC |
| Other Organization Name | CORONA FAMILY DENTAL CENTER |
| Practice Address |
3766 Junction Boulevard Corona NY 11368 |
| Mailing Address |
1956 Ocean Parkway 1 Brooklyn NY 11223 |
| Practice Telephone | 7188981300 |
| Practice Fax Number | 7185338644 |
| Mailing Telephone | 7186453000 |
| Mailing Fax Number | 7186454393 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD J SUTTON (PRES) |
| Authorized Official Telephone | 7186453000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02419670 | 05 |
| Other Name | Type Code |
|---|---|
| Corona Family Dental Center | Doing Business As Name - Organization |
| Street Address |
3766 JUNCTION BOULEVARD |
| City | CORONA |
| State | NY |
| Zip Code | 11368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014039 | Marukh Naeem | Behavioral Analyst | 11119a Roosevelt Ave, Apt 2r, Apt 2r, Corona, NY 11368 | 2020-02-05 |
| 1164072989 | Tonyia Michelle Madison | Counselor | 34-10 108 Street, Corona, Queens, NY 11368 | 2019-09-13 |
| 1962987347 | Sinead Anel Ulloa | Speech-Language Pathologist | 10420 37th Rd, Corona, NY 11368 | 2018-10-01 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1548758220 | Karina Elizabeth Carrasco | Specialist | 96- 32 46th Ave, Corona, NY 11368 | 2018-04-27 |
| 1134634033 | Nicole Iuculano | Speech-Language Pathologist | 43-18 97th Place, Corona, NY 11368 | 2017-12-13 |
| 1558880831 | Abenaa Nyame Danquah | Registered Nurse | 55-25 98th Place, Apt 1k, Corona, NY 11368 | 2017-09-18 |
| 1063940443 | Brand Rx Pharmacy Corp | Pharmacy | 97-05 A 57th Avenue, Corona, NY 11368 | 2017-05-30 |
| 1427595909 | Richelle Krish Sumaoy Colmenares | Physical Therapist | 3744 104th St., Corona, New York City, NY 11368 | 2017-01-23 |
| 1235674342 | 39th Avenue Physical Therapy PC | Clinic/Center | 103-18c 39 Ave, Corona, NY 11368 | 2016-12-28 |
| Find all providers in zip 11368 | ||||
| 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 |
|---|---|---|---|---|
| 1063011799 | Jordan Chelsey Douglas | Dentist | 460 N Mckinley St, Corona, CA 92879-3405 | 2020-10-23 |
| 1003423286 | Radhika Makadia | Dentist | 8387 Butterfly Bush Ct, Corona, CA 92883-4936 | 2020-09-30 |
| 1225646706 | Shweta Jain | Dentist | 3460 Summitpointe Cir, Corona, CA 92881-8354 | 2020-07-21 |
| 1730797614 | Brittany Sharleen Watu | Dentist | 916 W. Sixth Street, Corona, CA 92882-3239 | 2020-07-16 |
| 1144868373 | Jacqueline Astrid Marquez | Dentist | 1312 E Ontario Ave Ste 102, Corona, CA 92881-6645 | 2019-12-18 |
| 1447715743 | J Chun Dental Corp | Dentist | 1112 W 6th St Ste 105, Corona, CA 92882-3137 | 2019-01-31 |
| 1831614213 | Sam S Park | Dentist | 1222 Magnolia Ave Ste 101, Corona, CA 92881-2075 | 2017-08-07 |
| 1609322155 | Abhishek Joshi Dds,inc. | Dentist | 12738 Longhorne Dr, Corona, CA 92880-8839 | 2016-08-25 |
| 1932559713 | Wonjoon Lee | Dentist | 3283 Quartz Cir, Corona, CA 92882-6096 | 2016-06-13 |
| 1124476254 | Bhavik Bhakta | Dentist | 770 Magnolia Ave Ste 1a, Corona, CA 92879-3121 | 2016-05-31 |
| Find all providers in CORONA | ||||
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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.