KIMBALL DENTAL GROUP OF LAGUNA HILLS, PC (NPI# 1952952038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952952038 |
| Entity Type | Organization |
| Organization Name | KIMBALL DENTAL GROUP OF LAGUNA HILLS, PC |
| Practice Address |
23961 Calle De La Magdalena Ste 102 Laguna Hills CA 92653-3616 |
| Mailing Address |
31752 Coast Hwy Ste 300 Laguna Beach CA 92651-6782 |
| Practice Telephone | 9495866030 |
| Mailing Telephone | 7144200952 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | TWYLA PARDON (REGIONAL DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7144200952 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Stan Kimball, DDS | Doing Business As Name - Organization |
| Street Address |
23961 CALLE DE LA MAGDALENA STE 102 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| 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 |
|---|---|---|---|---|
| 1790348621 | Peter N Abas, Dds, Inc | Dentist | 23521 Paseo De Valencia Ste 112, Laguna Hills, CA 92653-3137 | 2019-04-16 |
| 1003275694 | Koorosh Hosn, D.d.s. | Dentist | 24031 El Toro Rd Ste 230, Laguna Hills, CA 92653-3146 | 2016-02-11 |
| 1639593163 | Dominic Soller | Dentist | 24261 Avenida De La Carlota Ste Q4, Laguna Hills, CA 92653-7633 | 2014-02-04 |
| 1851575732 | Phuc M Nguyen | Dentist | 24602 Ashland Dr, Laguna Hills, CA 92653-4334 | 2007-12-27 |
| 1447445044 | Christopher Paul Travis | Dentist | 25200 La Paz, #106, Laguna Hills, CA 92653 | 2007-09-07 |
| 1770776593 | Dominic Soller Dds Inc | Dentist | 24351 Ave De La Carlota #n4, Laguna Hills, CA 92653 | 2007-08-24 |
| 1639373400 | Mahshid Farhoumand | Dentist | 23024 Lake Forest Dr Ste A, Laguna Hills, CA 92653-1328 | 2007-06-13 |
| 1295946424 | Olex & Madany, A Professional Dental Corporation | Dentist | 25596 Alicia Pkwy, Laguna Hills, CA 92653-5309 | 2007-05-28 |
| 1619184876 | Richard Wodiske | Dentist | 25200 La Paz Rd Ste 109, Laguna Hills, CA 92653-5134 | 2007-05-17 |
| 1598989063 | Brian Kim | Dentist | 25211 Paseo De Alicia Ste 200, Laguna Hills, CA 92653-4614 | 2007-04-13 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on KIMBALL DENTAL GROUP OF LAGUNA HILLS, PC.
| 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.