PACIFIC DENTAL SERVICES (NPI# 1992181911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992181911 |
| Entity Type | Organization |
| Organization Name | PACIFIC DENTAL SERVICES |
| Practice Address |
6660 Lone Tree Way Ste 7 Brentwood CA 94513-5310 |
| Practice Telephone | 9255138363 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MATT PAUL (OFFICE MANAGER) |
| Authorized Official Telephone | 9255138363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 64819 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861884140 | Pacific Dental Services | Dentist | 15667 Roy Rogers Dr, Suite A101, Victorville, CA 92394-2158 | 2015-02-24 |
| 1912305236 | Pacific Dental Services | Dentist | 15667 Roy Rogers Dr, Ste. A101, Victorville, CA 92394-2158 | 2014-12-18 |
| 1336541101 | Pacific Dental Services | Dentist | 4380 Blue Diamond Rd Ste 102, Las Vegas, NV 89139-7786 | 2014-09-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC DENTAL SERVICES | 2250 Chambers St, Eugene, OR 97405 |
| Colorado Business Entities | Pacific Dental Services Foundation | 17000 Red Hill Avenue, Irvine, CA 92614 |
| North Carolina Corporations | Pacific Dental Services Foundation | 17000 Red Hill Avenue, Irvine, CA 92614 |
| Oregon Corporations, Companies and Business Names | PACIFIC DENTAL SERVICES FOUNDATION | 17000 Red Hill Ave, Irvine, CA 92614 |
| Washington State Corporations | PACIFIC DENTAL SERVICES FOUNDATION | 17000 Red Hill Ave, Irvine, CA 92614-5626 |
| Washington State Corporations | PACIFIC DENTAL SERVICES, LLC | 17000 Red Hill Ave, Irvine, CA 92614-5626 |
| Colorado Business Entities | Pacific Dental Services, LLC | 17000 Red Hill Avenue, Irvine, CA 92614 |
| Oregon Corporations, Companies and Business Names | PACIFIC DENTAL SERVICES, LLC, A LIMITED LIABILITY COMPANY OF DELAWARE | 17000 Red Hill Ave, Irvine, CA 92614 |
| Street Address |
6660 LONE TREE WAY STE 7 |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283614 | Sonam Agarwal | Dentist | 6660 Lone Tree Way Ste 7, Brentwood, CA 94513-5310 | 2020-10-21 |
| 1720626435 | Manraj K Dhaliwal | Dentist | 6660 Lone Tree Way Ste 7, Brentwood, CA 94513-5310 | 2019-12-12 |
| 1063991149 | Nikita Chaudhri | Dentist | 6660 Lone Tree Way Ste 7, Brentwood, CA 94513-5310 | 2018-08-09 |
| 1043682370 | Sumeet Sandhu | Dentist | 6660 Lone Tree Way Ste 7, Brentwood, CA 94513-5310 | 2015-10-26 |
| 1831575331 | Mark Nakhla | Dentist | 6660 Lone Tree Way Ste 7, Brentwood, CA 94513-5310 | 2015-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| 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 |
|---|---|---|---|---|
| 1881251775 | Adelisa Belle Legaspi | Dentist | 2400 Balfour Rd Ste 301, Brentwood, CA 94513-4955 | 2019-05-26 |
| 1699288175 | Brentwood Family Dentists | Dentist | 5123 Virginia Way Ste B12, Brentwood, TN 37027-7519 | 2017-11-07 |
| 1750891487 | Craig Chlebicki, Dds and Christopher Charles, Dds | Dentist | 1140 2nd St Ste A, Brentwood, CA 94513-2223 | 2017-10-09 |
| 1740799691 | Middle Tennessee Dental Sleep Specialists Pllc | Dentist | 1800 Mallory Ln Ste A1, Brentwood, TN 37027-2818 | 2017-09-22 |
| 1740718949 | Thomas Andrew Homonnay | Dentist | 1585 Mallory Ln Ste 101, Brentwood, TN 37027-3036 | 2017-06-01 |
| 1831548791 | Richard H Sullivan IIi | Dentist | 5024 Harpeth Drive, Brentwood, TN 37027 | 2016-06-10 |
| 1164894044 | Brett Houston Henderson | Dentist | 1601 Westgate Cir, Brentwood, TN 37027-8019 | 2015-10-30 |
| 1467821785 | Gulshan Kumar | Dentist | 7760 Brentwood Blvd Ste A, Brentwood, CA 94513-1062 | 2015-09-16 |
| 1770972101 | Dianne Benedictson | Dentist | 3130 Balfour Rd, Suite D#230, Brentwood, CA 94513-5515 | 2015-01-22 |
| 1699183327 | South Grove Dental | Dentist | 6690 Nolensville Rd Ste 104, Brentwood, TN 37027-8803 | 2014-07-25 |
| Find all providers in BRENTWOOD | ||||
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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.