WESTERN DENTAL SERVICES, INC. (NPI# 1912050147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912050147 |
| Entity Type | Organization |
| Organization Name | WESTERN DENTAL SERVICES, INC. |
| Practice Address |
2440 N Texas St Fairfield CA 94533-1602 |
| Mailing Address |
530 S Main St Orange CA 92868-4525 |
| Practice Telephone | 7074224600 |
| Practice Fax Number | 7074220396 |
| Mailing Telephone | 7144803000 |
| Mailing Fax Number | 7145713560 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARINA KING (PPO COORDINATOR) |
| Authorized Official Telephone | 7144803000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G90179-78 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1215535141 | Western Dental Services, Inc. | Dentist | 16842 Devonshire St, Granada Hills, CA 91344-7404 | 2020-10-13 |
| 1548876162 | Western Dental Services, Inc. | Dentist | 7046 Broadway, Lemon Grove, CA 91945-1406 | 2020-09-18 |
| 1699388561 | Western Dental Services, Inc. | Dentist | 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 | 2020-08-28 |
| 1659914398 | Western Dental Services, Inc. | Dentist | 1575 N. Grand Ave, Santa Ana, CA 92705-8511 | 2019-10-25 |
| 1306489505 | Western Dental Services, Inc. | Dentist | 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 | 2019-10-21 |
| 1487216313 | Western Dental Services, Inc. | Dentist | 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 | 2019-07-01 |
| 1508426677 | Western Dental Services, Inc. | Dentist | 15515 Normandie Ave, Gardena, CA 90247-4013 | 2019-06-19 |
| 1053975862 | Western Dental Services, Inc. | Dentist | 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 | 2019-04-26 |
| 1487112322 | Western Dental Services, Inc. | Dentist | 13368 Main St Ste 300, Hesperia, CA 92345-4730 | 2019-03-11 |
| Street Address |
2440 N TEXAS ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836177 | Ranjitha Vasili | Dentist | 2440 N Texas St, Fairfield, CA 94533-1602 | 2016-08-16 |
| 1982095220 | Jasdeep Nagina | Dentist | 2440 N Texas St, Fairfield, CA 94533-1602 | 2015-02-09 |
| 1740311869 | Raymond Dela Pena Ramos | Dentist | 2440 N Texas St, Fairfield, CA 94533-1602 | 2007-03-08 |
| 1649317603 | Usha Mantena | Dentist | 2440 N Texas St, Fairfield, CA 94533-1602 | 2007-01-31 |
| 1164569646 | Maristela Tan | Dentist | 2440 N Texas St, Fairfield, CA 94533-1602 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876051 | Karun Kaushal | Dentist | 2432 Mainsail Ct, Fairfield, CA 94534-1784 | 2019-11-27 |
| 1063063469 | Krunali Kapadia | Dentist | 1325 Travis Blvd Ste D, Fairfield, CA 94533-4611 | 2019-09-26 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| 1184119224 | Judge Ct Dental PC | Dentist | 2209 Black Rock Tpke, Fairfield, CT 06825-3243 | 2018-06-29 |
| 1922513811 | S. Jang Dds Incorporated | Dentist | 1955 W Texas St Ste 2b, Fairfield, CA 94533-4462 | 2017-12-13 |
| 1174038327 | First Dental LLC | Dentist | 325 Reef Rd Ste 106, Fairfield, CT 06824-6537 | 2017-12-11 |
| 1104330455 | Christopher French Dds, Inc | Dentist | 3825 Kraus Ln Unit J, Fairfield, OH 45014-5866 | 2017-11-24 |
| 1235594474 | Laurel Santos | Dentist | 1402 Pennsylvania Ave, Fairfield, CA 94533-3507 | 2015-12-15 |
| 1184093445 | Alicia Marie Schexnayder | Dentist | 3332 N Texas St Ste C, Fairfield, CA 94533-9758 | 2015-09-17 |
| Find all providers in FAIRFIELD | ||||
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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.