DR TOM DENTAL OFFICE (NPI# 1851461354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851461354 |
| Entity Type | Organization |
| Organization Name | DR TOM DENTAL OFFICE |
| Practice Address |
6795 Carnelian St Alta Loma CA 91701 |
| Practice Telephone | 9094833431 |
| Mailing Telephone | 9094833431 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-08-10 |
| Authorized Official Name | DR. ADELINE TOM (OWNER) |
| Authorized Official Telephone | 9094833431 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 43122 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | B4312201 | 01 |
| Street Address |
6795 CARNELIAN ST |
| City | ALTA LOMA |
| State | CA |
| Zip Code | 91701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884882 | Alinda Joan Kniss | Speech-Language Pathologist | 8990 19 Th Street #304, Alta Loma, CA 91701 | 2017-07-19 |
| 1164739595 | Andrea G Moore-emmett | Counselor | 9330 Baseline Rd Ste 102, Rancho Cucamonga, CA 91701 | 2010-09-07 |
| 1053548644 | Suniel S. Khemlani | Family Medicine | 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701 | 2009-06-22 |
| 1215130448 | C Mark Keen | Dentist | 9606 Baseline Rd, Alta Loma, CA 91701 | 2007-06-06 |
| 1184845711 | Andrew Liu | Specialist/Technologist | 11801 Lark Dr., Rancho Cucamonga, CA 91701 | 2007-05-01 |
| 1083741359 | Rockcreek, Inc. | Intermediate Care Facility, Mentally Retarded | 10227 Monte Vista Street, Rancho Cucamonga, CA 91701 | 2007-02-27 |
| 1194867788 | George Ji Jun Tao | Dentist | 6626 Carnelian St, Alta Loma, CA 91701 | 2007-02-12 |
| 1265590624 | Terry F Brock | Dentist | 7283 Carnelian St, Alta Loma, CA 91701 | 2006-12-05 |
| 1124127956 | Johnny S Liu | Dentist | 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 | 2006-09-21 |
| 1578903175 | Andrew Paul Clack | Marriage & Family Therapist | 9330 Baseline Rd Ste 102, Rancho Cucamonga, CA 91701 | 2013-06-27 |
| Find all providers in zip 91701 | ||||
| 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 |
|---|---|---|---|---|
| 1467017053 | Sufia Nabi | Dentist | 9850 19th St Apt 144, Alta Loma, CA 91737-4225 | 2019-05-08 |
| 1437599339 | Niraj V Shah | Dentist | 9778 19th St, Alta Loma, CA 91737-3538 | 2013-06-25 |
| 1174871966 | Milan Manoj Irvin | Dentist | 9330 Baseline Rd, Ste 108, Alta Loma, CA 91701-5827 | 2012-08-27 |
| 1992849939 | Jia Y Lee | Dentist | 9320 Baseline Rd Ste E, Alta Loma, CA 91701-5829 | 2007-02-15 |
| 1194867788 | George Ji Jun Tao | Dentist | 6626 Carnelian St, Alta Loma, CA 91701 | 2007-02-12 |
| 1265590624 | Terry F Brock | Dentist | 7283 Carnelian St, Alta Loma, CA 91701 | 2006-12-05 |
| 1124127956 | Johnny S Liu | Dentist | 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 | 2006-09-21 |
| 1720032287 | Seguy & Hernandez, A Dental Part. | Dentist | 9560 Baseline Rd, Suite B, Alta Loma, CA 91701-6435 | 2006-05-20 |
| 1336398197 | Natalie Corinne Cochran | Dentist | 7283 Carnelian St, Alta Loma, CA 91701-5526 | 2008-09-16 |
| 1518167568 | Richard Ryan Buck | Dentist | 9560 Baseline Rd, Suite B, Alta Loma, CA 91701-6435 | 2007-07-18 |
| Find all providers in ALTA LOMA | ||||
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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.