PONCE DE LEON DENTAL (NPI# 1851693295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851693295 |
| Entity Type | Organization |
| Organization Name | PONCE DE LEON DENTAL |
| Practice Address |
1589 W. El Camino Ave. Ste. 108 Sacramento CA 95833 |
| Mailing Address |
1589 W. El Camino Ave Suite 108 Sacramento CA 95833 |
| Practice Telephone | 9165642020 |
| Practice Fax Number | 9165643900 |
| Mailing Telephone | 9165642020 |
| Mailing Fax Number | 9165643900 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | DR. ALBERTO PONCE DE LEON (DENTIST/CO-OWNER) |
| Authorized Official Telephone | 9165642020 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 40875 | CA | Dental Providers |
| Street Address |
1589 W. EL CAMINO AVE. STE. 108 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| 1508385949 | Victoria Gabriella Lobatos | Behavioral Analyst | 2915 Azevedo Dr, Sacramento, CA 95833 | 2017-09-18 |
| 1083131908 | Jody Ellen Sytten | Registered Nurse | 2890 Gateway Oaks, Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1588181291 | Nora Catherine Myer | Registered Nurse | 2890 Gateway Oaks Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1487177689 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1630 West El Camino Ave, Sacramento, CA 95833 | 2017-07-19 |
| 1013430537 | Daniela Lupe | Social Worker | 2800 Amerian Ave, Sacramento, CA 95833 | 2017-07-18 |
| 1194170563 | Tia Lorraine Johnson | Behavioral Analyst | 1416 Brewerton Dr #306, Sacramento, CA 95833 | 2016-05-04 |
| 1053751081 | Kelley Davenport | Behavioral Analyst | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833 | 2013-07-05 |
| 1194075671 | Jennifer Lynn Reddy | Pharmacist | 2200 River Plaza Drive, Sacramento, CA 95833 | 2012-09-12 |
| 1437483880 | Kaiser Parmenente | General Acute Care Hospital | 2654 El Centro Rd, Sacramento, CA 95833 | 2009-10-01 |
| Find all providers in zip 95833 | ||||
| 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 |
|---|---|---|---|---|
| 1679180178 | Shraddha Swain | Dentist | 1164 National Dr Ste 40, Sacramento, CA 95834-1925 | 2020-09-28 |
| 1447867197 | Yasmine Taylor Puentes | Dentist | 1428 U St, Sacramento, CA 95818-1489 | 2020-09-27 |
| 1396375812 | Euridise Munoz De Anda | Dentist | 3311 Watt Ave Ste A, Sacramento, CA 95821-3617 | 2020-01-23 |
| 1114577343 | Ahmad Mokbil Dds Inc | Dentist | 992 Florin Rd, Sacramento, CA 95831-3515 | 2019-09-19 |
| 1538722798 | Yun Hwan Oh Dental Corporation | Dentist | 3521 Arden Way Ste 101, Sacramento, CA 95864-2911 | 2019-04-15 |
| 1093289621 | Western Dental Services, Inc. | Dentist | 3945 Marysville Blvd Ste 1-2, Sacramento, CA 95838-3762 | 2019-01-16 |
| 1659860690 | S.y.y Jang Dds Corp | Dentist | 3433 Arden Way Ste C, Sacramento, CA 95825-2018 | 2018-05-04 |
| 1992213623 | Lee Lo | Dentist | 719 Roundtree Ct, Sacramento, CA 95831-2678 | 2018-01-16 |
| 1982123279 | Gill Bautista and Lopez Dental Corporation | Dentist | 8204 Delta Shores Cir S Ste 140, Sacramento, CA 95832-9101 | 2017-09-18 |
| 1609391549 | Sooraj Singh | Dentist | 1007 Rio Cidade Way, Sacramento, CA 95831-4467 | 2017-08-11 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95833 |
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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.