WESTERN DENTAL SERVICES, INC.
Dentist

Address: 3303 N Broadway Ste 101-103, Los Angeles, CA 90031-2803

WESTERN DENTAL SERVICES, INC. (NPI# 1700471828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700471828
Entity Type Organization
Organization Name WESTERN DENTAL SERVICES, INC.
Practice Address 3303 N Broadway Ste 101-103
Los Angeles
CA 90031-2803
Practice Telephone 3232002630
Practice Fax Number 3232002636
Mailing Address 530 S Main St
Orange
CA 92868-4525
Mailing Telephone 7144803000
Mailing Fax Number 7145716445
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Authorized Official Telephone 7145713372
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 122300000X Dentist 193200000X MULTI-SPECIALTY GROUP Dental Providers

Other Provider Identifiers

Identifier State Issuer Type Code
G86209 CA MEDICAID

Other providers with the same name

NPI Name Taxonomy Address Enumeration
1568063634 Western Dental Services, Inc. 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 2020-11-05
1215535141 Western Dental Services, Inc. 16842 Devonshire St, Granada Hills, CA 91344-7404 2020-10-13
1548876162 Western Dental Services, Inc. 7046 Broadway, Lemon Grove, CA 91945-1406 2020-09-18
1699388561 Western Dental Services, Inc. 37134 47th St E Ste A&b, Palmdale, CA 93552-4458 2020-08-28
1659914398 Western Dental Services, Inc. 1575 N. Grand Ave, Santa Ana, CA 92705-8511 2019-10-25
1306489505 Western Dental Services, Inc. 1153 W Pacheco Blvd, Los Banos, CA 93635-8617 2019-10-21
1114578580 Western Dental Services, Inc. 286 Euclid Ave Ste 201, San Diego, CA 92114-3612 2019-09-26
1487216313 Western Dental Services, Inc. 434 E Dr Martin Luther King Jr Blvd, Stockton, CA 95206-1435 2019-07-01
1508426677 Western Dental Services, Inc. 15515 Normandie Ave, Gardena, CA 90247-4013 2019-06-19
1053975862 Western Dental Services, Inc. 4834 Etiwanda Ave, Ste 200, Jurupa Valley, CA 91752-1828 2019-04-26
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Office Location

Street Address 3303 N BROADWAY STE 101-103
City LOS ANGELES
State CA
Zip Code 90031-2803

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249607 Aylin Azizyans Student in an Organized Health Care Education/Training Program 3303 N Broadway, Los Angeles, CA 90031-2803 2020-09-11
1730793902 Emily Marie Romero Student in an Organized Health Care Education/Training Program 3303 N Broadway, Los Angeles, CA 90031-2803 2020-09-03
1477167872 Thomas Matthew Kostjal Social Worker 3303 N Broadway, Los Angeles, CA 90031-2803 2020-09-02
1609480094 Angelica Yi Social Worker 3303 N Broadway, Los Angeles, CA 90031-2803 2020-09-02
1730793134 Diane Gomez Student in an Organized Health Care Education/Training Program 3303 N Broadway, Los Angeles, CA 90031-2803 2020-09-02
1396355954 Alexis Chan Student in an Organized Health Care Education/Training Program 3303 N Broadway, Los Angeles, CA 90031-2803 2020-08-07
1497365043 Gabrielle Gevers Student in an Organized Health Care Education/Training Program 3303 N Broadway, Los Angeles, CA 90031-2803 2020-08-07
1457834756 Gloria Susana Mendez Student in an Organized Health Care Education/Training Program 3303 N Broadway, Los Angeles, CA 90031-2803 2018-09-12
1689198764 Thomas Joseph Dunleavy Counselor · Mental Health 3303 N Broadway, Los Angeles, CA 90031-2803 2017-07-31
1336505924 Lucy Oh Social Worker · Clinical 3303 N Broadway, Los Angeles, CA 90031-2803 2016-01-12
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1952934945 Jared Valdez Student in an Organized Health Care Education/Training Program 3303 N Broadway, Los Angeles, CA 90031 2020-02-18
1780146639 County of Los Angeles - Auditor Controller Clinic/Center 3303 N. Broadway, Los Angeles, CA 90031 2019-04-01
1114492089 Christina Marie Jeffords Counselor · Professional 1721 Griffin Ave, Los Angeles, CA 90031 2018-10-08
1669955951 Kayla Stewart Student in an Organized Health Care Education/Training Program 1721 Griffin Ave, Los Angeles, CA 90031 2018-09-12
1982180931 Triny A Rios Counselor · Professional 1721 Griffin Ave, Los Angeles, CA 90031 2018-07-12
1205323276 Cassandra Elena Mendoza Social Worker · Clinical 1721 Griffin Ave, Los Angeles, CA 90031 2018-04-16
1104333228 Melissa Rodriguez Marriage & Family Therapist 1721 Griffin Ave, Los Angeles, CA 90031 2018-01-10
1467963819 Violeta Jasmin Calderon Counselor 1721 Griffin Ave, Los Angeles, CA 90031 2017-10-12
1821516261 Araceli Gutierrez Community/Behavioral Health 1721 Griffin Ave, Los Angeles, CA 90031 2017-09-06
1356863914 Emily Anne James Case Manager/Care Coordinator 1721 Griffin Ave, Los Angeles, CA 90031 2017-07-14
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346835196 Julianna Ko Herman Ostrow School of Dentistry 925 W 34th St, Los Angeles, CA 90089-0001 2021-03-03
1073108023 Shahed Al Khalifah 100 Medical Plaza Suite 350, Los Angeles, CA 90095-0001 2021-03-02
1710570247 Sang Hyun Jee 1100 S Hope St Apt 1311, Los Angeles, CA 90015-2192 2021-02-16
1679166144 Meri Davtyan 1815 N Serrano Ave Apt 213, Los Angeles, CA 90027-3428 2021-02-16
1689266876 Lizeth Yamileth Correa 825 S Hill St Apt 3204, Los Angeles, CA 90014-3299 2021-02-09
1154913697 Taylor Addison 10833 Le Conte Ave Rm 20-137, Los Angeles, CA 90095-3075 2021-02-05
1356939136 Shirin Yezdi Bahadurji 888 Hilgard Ave Apt 110, Los Angeles, CA 90024-3184 2021-01-06
1750978763 Fredia Isis Cadavid 875 N Western Ave, Los Angeles, CA 90029-3759 2020-12-23
1477158657 Laurie Chang Siu 1565 S Western Ave, Los Angeles, CA 90006-4233 2020-12-03
1124623004 Ana Helena Rankovic Dds Inc 5417 Venice Blvd, Los Angeles, CA 90019-5163 2020-12-01
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Competitor

Search similar providers

City LOS ANGELES
Zip Code 90031

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1275823734 Emblemhealth Medical and Dental Services Inc. · Ghi Family Dental Practice/Oehc Clinic/Center · Health Service 1873 Western Ave, Suite 200, Albany, NY 12203-5028 2011-04-18
1639467061 Western Dental Services, Inc Dentist 780 1st St, Gilroy, CA 95020-4972 2011-07-19
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1235563495 Western Dental Services, Inc Dentist 730 Woollomes Ave, Suite 101-102, Delano, CA 93215-9550 2013-08-23
1710266887 Western Dental Services, Inc Dentist 1260 Trancas St, Napa, CA 94558-2910 2011-08-08
1154677763 Western Dental Services, Inc Dentist 4100 S El Camino Real, San Mateo, CA 94403-5131 2012-08-01
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Dataset Information

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.