SAHAWNEH DENTAL CORPORATION (NPI# 1962887505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962887505 |
| Entity Type | Organization |
| Organization Name | SAHAWNEH DENTAL CORPORATION |
| Other Organization Name | BRIGHT NOW DENTAL - MORENO VALLEY |
| Practice Address |
12420 Day St Ste B4 Moreno Valley CA 92553-7536 |
| Mailing Address |
100 Spectrum Center Dr Ste 100 Irvine CA 92618-4962 |
| Practice Telephone | 9516566538 |
| Practice Fax Number | 9516566580 |
| Mailing Telephone | 7145786358 |
| Mailing Fax Number | 9498619868 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | DR. SHOROUQ SAHAWNEH (OWNER/DENTIST) |
| Authorized Official Telephone | 7145786358 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | SAHAWNEH DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 55643 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bright Now Dental - Moreno Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573920 | Sahawneh Dental Corporation | Dentist | 9851 South Alameda, Unit A, Los Angeles, CA 90002 | 2019-08-16 |
| 1609251248 | Sahawneh Dental Corporation | Dentist | 43456 10th St W, Lancaster, CA 93534-6004 | 2015-07-24 |
| 1588049126 | Sahawneh Dental Corporation | Dentist | 19361 Saticoy St Ste A, Reseda, CA 91335-2360 | 2015-07-24 |
| 1003291642 | Sahawneh Dental Corporation | Dentist | 1400 W West Covina Pkwy, West Covina, CA 91790-2731 | 2015-07-24 |
| 1477938231 | Sahawneh Dental Corporation | Dentist | 42250 Jackson St, Suite #102, Indio, CA 92203-9783 | 2015-07-22 |
| 1073998845 | Sahawneh Dental Corporation | Dentist | 1286b Auto Park Way, Escondido, CA 92029-2232 | 2015-07-22 |
| 1740665504 | Sahawneh Dental Corporation | Dentist | 17003 Bear Valley Rd, Suite D, Hesperia, CA 92345-1419 | 2015-07-22 |
| 1497139521 | Sahawneh Dental Corporation | Dentist | 6840 Eastern Ave, Ste A, Bell Gardens, CA 90201-3902 | 2015-07-18 |
| 1104200245 | Sahawneh Dental Corporation | Dentist | 79255 Highway 111, Suite 1a & 1b, La Quinta, CA 92253-8301 | 2015-07-18 |
| 1285018325 | Sahawneh Dental Corporation | Dentist | 12052 Imperial Hwy, Suite 101, Norwalk, CA 90650-3090 | 2015-07-18 |
| Street Address |
12420 DAY ST STE B4 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962457994 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 12420 Day St, Moreno Valley, CA 92553-7536 | 2006-05-25 |
| 1396291506 | Ravneet Singh Dhillon | Dentist | 12420 Day St, Suite B4, Moreno Valley, CA 92553 | 2016-08-28 |
| 1811063902 | Lenh S. Phui | Dentist | 12420 Day St, Suite B4, Moreno Valley, CA 92553-7536 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| 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 |
|---|---|---|---|---|
| 1629554381 | Milton Melvin Vega | Dentist | 23569 Sunnymead Ranch Pkwy Ste A, Moreno Valley, CA 92557-2884 | 2018-07-16 |
| 1245777200 | Sunnymead Ranch Dental Center | Dentist | 23569 Sunnymead Ranch Pkwy, Suite A, Moreno Valley, CA 92557-2884 | 2017-01-27 |
| 1174971188 | Yara Stephania Soto Solis | Dentist | 24760 Sunnymead Blvd, Moreno Valley, CA 92553-3791 | 2016-05-31 |
| 1205299401 | Dr Vimal Patel,dds Inc | Dentist | 26150 Iris Ave Ste 6, Moreno Valley, CA 92555-3009 | 2016-04-04 |
| 1083084404 | Jonathan Kim | Dentist | 27289 Willow Leaf Rd, Moreno Valley, CA 92555-4755 | 2015-09-28 |
| 1417339466 | Suchi Patel | Dentist | 23185 Hemlock Ave # 1, Moreno Valley, CA 92557-8043 | 2015-06-26 |
| 1881084374 | P. Pablo Gonzalez, Dds, A Prof Corp | Dentist | 15952 Perris Blvd Ste E, Moreno Valley, CA 92551-1320 | 2015-02-04 |
| 1689007593 | Kai K Wilcots | Dentist | 13373 Perris Blvd Ste D306, Moreno Valley, CA 92553-4208 | 2013-08-14 |
| 1689921025 | Sameh Said Sallam | Dentist | 26468 Sand Palm Ct, Moreno Valley, CA 92555-2368 | 2012-08-03 |
| 1346569670 | Suzanne Jensen | Dentist | 23767 Sunnymead Blvd, Moreno Valley, CA 92553-7750 | 2010-05-26 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on SAHAWNEH DENTAL CORPORATION.
| 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.