SOUTHWEST DENTAL CENTER INC. (NPI# 1942442777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942442777 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DENTAL CENTER INC. |
| Other Organization Name | HI DESERT DENTAL CENTER |
| Practice Address |
1745 W Avenue K Suite C Lancaster CA 93534-6501 |
| Practice Telephone | 6617235400 |
| Practice Fax Number | 6617233944 |
| Mailing Telephone | 6617235400 |
| Mailing Fax Number | 6617233944 |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2016-07-27 |
| NPI Deactivation Date | 07/10/2009 |
| NPI Reactivation Date | 2016-07-27 |
| Authorized Official Name | DR. LEONEED GORDON (OWNER) |
| Authorized Official Telephone | 6617235400 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST DENTAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
43266 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
32936 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | 32936 | 01 |
| CA | LICENSE | 43622 | 01 |
| CA | GORDON | 571310977 | 01 |
| Other Name | Type Code |
|---|---|
| HI DESERT DENTAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134808 | Southwest Dental Center Inc. | Dentist | 2205 E Palmdale Blvd, Palmdale, CA 93550-1316 | 2007-04-20 |
| Street Address |
1745 W AVENUE K SUITE C |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543821 | Jerry Lee Martin | Optometrist | 1745 W Avenue K, Lancaster, CA 93534-6502 | 2006-01-23 |
| 1861682759 | Dr. Yury B. Geylikman, A Professional Dental Corporation | Dentist | 1745 W Avenue K, Suite C, Lancaster, CA 93534-6501 | 2007-07-27 |
| 1407867161 | Richard Nels Petersen | Optometrist | 1745 W Avenue K, Suite A, Lancaster, CA 93534-6502 | 2006-08-10 |
| 1548202864 | Antelope Valley Optometric Center, Inc. | Optometrist | 1745 W Avenue K, Suite A, Lancaster, CA 93534-6501 | 2006-06-12 |
| 1568432730 | Michael Lee Holub | Optometrist | 1745 W Avenue K, Suite A, Lancaster, CA 93534-6502 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1497363279 | Affordable Dentist Near Me Lancaster,pllc | Dentist | 1370 W Belt Line Rd, Lancaster, TX 75146-2110 | 2020-07-17 |
| 1467952903 | Elite Dental LLC | Dentist | 1210 Millersville Pike, Lancaster, PA 17603-6656 | 2018-02-20 |
| 1528570157 | Simley Dental-lancaster Pllc | Dentist | 1445 W Pleasant Run Rd, Lancaster, TX 75146-1308 | 2017-11-05 |
| 1538671128 | Navneet Kaur Randhawa | Dentist | 1305 N Bluegrove Rd # 103, Lancaster, TX 75134-2939 | 2017-11-03 |
| 1881117950 | Azita Saidi Carr | Dentist | 404 N I 35 E Ste 118, Lancaster, TX 75146-1866 | 2017-07-20 |
| 1588015556 | Lawrence M. Lozada D.d.s. Professional Corporation | Dentist | 945 W Avenue J, Lancaster, CA 93534-3428 | 2016-06-30 |
| 1720466162 | Sandra Pasquinelli | Dentist | 1601 N Memorial Dr, Lancaster, OH 43130-1632 | 2015-05-18 |
| 1831577923 | Joseph Hanna Dental Corporation | Dentist | 43531 10th St West, Lancaster, CA 93534 | 2015-05-11 |
| 1730566266 | Nidhesha LLC | Dentist | 1011 Crofft Dr, Lancaster, PA 17601-4889 | 2015-05-05 |
| 1821404724 | Hopewell Dental Care Associates, LLC | Dentist | 1617 Tiki Ln, Lancaster, OH 43130-8729 | 2014-07-11 |
| Find all providers in LANCASTER | ||||
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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.