TOOTH FAIRY DENTAL GROUP (NPI# 1962658690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962658690 |
| Entity Type | Organization |
| Organization Name | TOOTH FAIRY DENTAL GROUP |
| Practice Address |
28350 Via Santa Rosa Temecula CA 92590-5335 |
| Mailing Address |
1040 Tierra Del Rey Ste 103 Chula Vista CA 91910-7865 |
| Practice Telephone | 6192594001 |
| Mailing Telephone | (619) 482-1210 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. NATHANIEL S LIU (PRESIDENT) |
| Authorized Official Telephone | 6192594001 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D44924 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1040 Tierra Del Rey Ste 103, Chula Vista, CA 919107865 | 6194821210 |
| Street Address |
28350 VIA SANTA ROSA |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609930007 | Nathaniel S Liu | Dentist | 28350 Via Santa Rosa, Temecula, CA 92590-5335 | 2006-12-20 |
| 1730343252 | Dr. Nathaniel S. Liu, D.d.s., A Professional Corporation | Dentist | 28350 Via Santa Rosa, Temecula, CA 92590-5335 | 2008-07-14 |
| 1013113067 | Dr. Nathaniel S. Liu, Dds A Professional Corporation | Dentist | 28350 Via Santa Rosa, Temecula, CA 92590-5335 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| 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 |
|---|---|---|---|---|
| 1871101972 | Mohammad Ali Zareh Dds Inc | Dentist | 31213 Hwy 79, Suite 200, Temecula, CA 92592-6827 | 2020-07-15 |
| 1982188942 | Abrams and Lee Dental Corporation | Dentist | 40705 Winchester Rd Ste A103, Temecula, CA 92591-5516 | 2018-09-17 |
| 1750817177 | Anahita Akbari Farahani | Dentist | 39209 Wichester Rd, Ste 100, Temecula, CA 92563 | 2017-05-04 |
| 1982059515 | Abeer Khatib | Dentist | 41238 Margarita Rd Ste 103, Temecula, CA 92591-5552 | 2016-05-02 |
| 1497121347 | Gregory Ardary | Dentist | 31821 Temecula Pkwy Ste C-7, Temecula, CA 92592-8201 | 2015-08-14 |
| 1508240649 | Sahawneh Dental Corporation | Dentist | 39804 Winchester Rd, Suite B, Temecula, CA 92591-8315 | 2015-07-18 |
| 1548675713 | James Low | Dentist | 31285 Temecula Pkwy Ste 205, Temecula, CA 92592-6829 | 2014-06-26 |
| 1922413467 | Eric R Draper | Dentist | 32506 Vail Creek Dr, Temecula, CA 92592-1842 | 2014-06-24 |
| 1235540766 | Henry Abraham Dds Inc | Dentist | 29049 Overland Dr Ste C, Temecula, CA 92591-3637 | 2014-05-19 |
| 1225397524 | Western Dental Services, Inc. | Dentist | 41115 Winchester Rd, Ste 102, Temecula, CA 92591-6001 | 2012-05-08 |
| Find all providers in TEMECULA | ||||
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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.