SAHAWNEH DENTAL CORPORATION (NPI# 1881078913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881078913 |
| Entity Type | Organization |
| Organization Name | SAHAWNEH DENTAL CORPORATION |
| Other Organization Name | BRIGHT NOW DENTAL AZUZA |
| Practice Address |
810 E Alosta Ave Azusa CA 91702-2706 |
| Mailing Address |
100 Spectrum Center Dr Ste 100 Irvine CA 92618-4962 |
| Practice Telephone | 6268042144 |
| Practice Fax Number | 6268129148 |
| Mailing Telephone | 7145786358 |
| Mailing Fax Number | 9498619868 |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |
| Authorized Official Name | DR. SHOROUQ SAHAWNEH (OWNER DOCTOR) |
| Authorized Official Telephone | 7145786358 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | SAHAWNEH DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 55643 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bright Now Dental Azuza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1609251248 | Sahawneh Dental Corporation | Dentist | 43456 10th St W, Lancaster, CA 93534-6004 | 2015-07-24 |
| 1588049126 | Sahawneh Dental Corporation | Dentist | 19361 Saticoy St Ste A, Reseda, CA 91335-2360 | 2015-07-24 |
| 1003291642 | Sahawneh Dental Corporation | Dentist | 1400 W West Covina Pkwy, West Covina, CA 91790-2731 | 2015-07-24 |
| 1477938231 | Sahawneh Dental Corporation | Dentist | 42250 Jackson St, Suite #102, Indio, CA 92203-9783 | 2015-07-22 |
| 1073998845 | Sahawneh Dental Corporation | Dentist | 1286b Auto Park Way, Escondido, CA 92029-2232 | 2015-07-22 |
| 1740665504 | Sahawneh Dental Corporation | Dentist | 17003 Bear Valley Rd, Suite D, Hesperia, CA 92345-1419 | 2015-07-22 |
| 1497139521 | Sahawneh Dental Corporation | Dentist | 6840 Eastern Ave, Ste A, Bell Gardens, CA 90201-3902 | 2015-07-18 |
| 1104200245 | Sahawneh Dental Corporation | Dentist | 79255 Highway 111, Suite 1a & 1b, La Quinta, CA 92253-8301 | 2015-07-18 |
| 1285018325 | Sahawneh Dental Corporation | Dentist | 12052 Imperial Hwy, Suite 101, Norwalk, CA 90650-3090 | 2015-07-18 |
| Street Address |
810 E ALOSTA AVE |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457672149 | Fratt Dental Corporation | Dentist | 810 E Alosta Ave, Azusa, CA 91702-2706 | 2010-06-16 |
| 1417316266 | Consumerhealth, Inc. | Dentist | 810 E Alosta Ave, Azusa, CA 91702-2706 | 2016-02-22 |
| 1487968707 | Consumerhealth, Inc. | Dentist | 810 E Alosta Ave, Azusa, CA 91702-2706 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1285957712 | Enoma Alade, Dds, Inc | Dentist | 706 North Azusa Ave, Azusa, CA 91702-2507 | 2010-03-11 |
| 1548472988 | Kiran S Trivedi | Dentist | 958 E Alosta Ave, Azusa, CA 91702-2709 | 2007-05-06 |
| 1205978418 | Jean Maroun Kattar | Dentist | 1141 E Alosta Ave, Azusa, CA 91702-2740 | 2007-02-13 |
| 1447319900 | Derek Aung Min | Dentist | 891 E Arrow Hwy, Suite B, Azusa, CA 91702 | 2006-12-08 |
| 1003975939 | Jeremias Mariano Pinacapal Miguel | Dentist | 525 N Azusa Avenue, Azusa, CA 91702 | 2006-12-06 |
| 1245318195 | Prakash Amratlal Katbamna | Dentist | 590 E Foothill Blvd, Azusa, CA 91702-2542 | 2006-11-01 |
| 1659467058 | Or Trigoso Dental Corporation | Dentist | 635 E Arrow Hwy, Azusa, CA 91702-5802 | 2006-10-04 |
| 1831207240 | Enoma Alade | Dentist | 706 North Azusa Avenue, Azusa, CA 91702 | 2006-08-26 |
| 1841657301 | Reyes&reyes D.d.s Dental Corp | Dentist | 635 E Arrow Hwy, Azusa, CA 91702-5802 | 2016-01-28 |
| 1700207883 | Reuben I. Saucedo Dds Inc. | Dentist | 105 E 10th St, Azusa, CA 91702-2445 | 2013-12-17 |
| Find all providers in AZUSA | ||||
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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.