ERIC JOHN R EUSEBIO DMD INC (NPI# 1952576456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952576456 |
| Entity Type | Organization |
| Organization Name | ERIC JOHN R EUSEBIO DMD INC |
| Other Organization Name | SMILES OF EASTLAKE |
| Practice Address |
2127 Olympic Parkway #1003 Chula Vista CA 91915 |
| Practice Telephone | 6194821962 |
| Practice Fax Number | 6194821417 |
| Mailing Telephone | 6194821962 |
| Mailing Fax Number | 6194821417 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | ERIC JOHN R EUSEBIO (OWNER PRESIDENT) |
| Authorized Official Telephone | 6194821962 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 43439 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Smiles of Eastlake | Other Name - Individual/Organization |
| Street Address |
2127 OLYMPIC PARKWAY #1003 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| 1649312729 | Araceli Narciso Bantog | Military Health Care Provider | Marble Canyon Way, Chula Vista, CA 91915 | 2007-02-13 |
| Find all providers in zip 91915 | ||||
| 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 |
|---|---|---|---|---|
| 1598371718 | Ri Maroon Dental Group PC | Dentist | 1339 Third Ave, Chula Vista, CA 91911-4302 | 2020-09-22 |
| 1134754625 | Mustafa Khalid Dds Inc. | Dentist | 309 Third Ave, Chula Vista, CA 91910-3910 | 2020-03-05 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1992367411 | Roshni S. Desai | Dentist | 1310 3rd Ave Ste A1, Chula Vista, CA 91911-4371 | 2019-07-04 |
| 1043774854 | Carpio Dental Corporation | Dentist | 1690 Millenia Ave Ste 102, Chula Vista, CA 91915-2889 | 2019-01-25 |
| 1275010670 | Krista Ciarra Schulte | Dentist | 878 Eastlake Pkwy Ste 1511, Chula Vista, CA 91914-4550 | 2018-07-27 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1245749209 | Gina Petrarca | Dentist | 878 Eastlake Pkwy Ste 1151, Chula Vista, CA 91914-4546 | 2017-09-21 |
| 1720505126 | Gilda Bankian | Dentist | 1310 3rd Ave, Chula Vista, CA 91911-4371 | 2017-08-25 |
| 1700238862 | Melissa H Lomahan | Dentist | 310 3rd Ave Ste C1b, Chula Vista, CA 91910-3954 | 2016-07-12 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91915 |
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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.