MADDATU DENTAL CORPORATION (NPI# 1962893115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962893115 |
| Entity Type | Organization |
| Organization Name | MADDATU DENTAL CORPORATION |
| Other Organization Name | TITUS DENTAL OFFICE |
| Practice Address |
14547 Titus St Ste 207 Panorama City CA 91402-4932 |
| Practice Telephone | 8187854282 |
| Practice Fax Number | 8187858704 |
| Mailing Telephone | 8187854282 |
| Mailing Fax Number | 8187858704 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-05-30 |
| Authorized Official Name | DR. JONATHAN L MADDATU (DENTIST/ OWNER) |
| Authorized Official Telephone | 8187854282 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 55562 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Titus Dental Office | Doing Business As Name - Organization |
| Street Address |
14547 TITUS ST STE 207 |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| 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 |
|---|---|---|---|---|
| 1356854681 | Lusine N/a Sargsyan | Dentist | 7869 Ventura Canyon Ave Unit 206, Panorama City, CA 91402-6361 | 2017-11-08 |
| 1578959342 | Leslie Grace Catalan Quijano | Dentist | 14334 Lorne St, Panorama City, CA 91402-5208 | 2015-04-08 |
| 1063822849 | Western Dental Services, Inc. | Dentist | 8600 Van Nuys Blvd, Panorama City, CA 91402-2913 | 2014-05-02 |
| 1235442930 | Jerry L Lanier Dds Inc | Dentist | 8214 - 8216 Van Nuys Blvd, Panorama City, CA 91402 | 2010-07-22 |
| 1023205143 | Manuel Antonio Deleon | Dentist | 7963 Van Nuys Blvd Ste 103, Panorama City, CA 91402-6071 | 2007-10-02 |
| 1356541080 | Grace H O Cho | Dentist | 8215 Van Nuys Blvd Ste 220, Panorama City, CA 91402-4836 | 2007-07-20 |
| 1639375488 | Dentalville | Dentist | 7864 Van Nuys Blvd, Panorama City, CA 91402-6069 | 2007-06-26 |
| 1821203241 | Yolanda Herrero Landig | Dentist | 8340 Van Nuys Blvd, Suite C, Panorama City, CA 91402-3608 | 2007-05-10 |
| 1730301441 | Lisa Joelle Stahl | Dentist | 8214 Van Nuys Blvd, Panorama City, CA 91402-4805 | 2007-05-03 |
| 1699892893 | Dan Rosen Dds and Shahram R Nourian Dds A Professional Corporation | Dentist | 8424 Van Nuys Blvd, Panorama City, CA 91402 | 2007-03-23 |
| Find all providers in PANORAMA CITY | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
Please comment or provide details below to improve the information on MADDATU 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.