Dizon and Lam DMD Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37072 Issued in CA

Legal business name

DIZON AND LAM DMD INC.

Doing business as

YOLO DENTAL PRACTICE

Practice address

520 Cottonwood St Ste 9
Woodland, CA 95695-3603

Phone

(530) 662-8100

Fax

(530) 662-8101

NPI assigned

Jun 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenda Olimpiada Dizon

Title

Dentist

Phone

(530) 662-8100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• YOLO DENTAL PRACTICE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1053514349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST STE 9",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "530-662-8100",
            "fax_number": "530-662-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST STE 9",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "530-662-8100",
            "fax_number": "530-662-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIZON AND LAM DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "DIZON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "OLIMPIADA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-662-8100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G92201-05",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIAN ID.",
            "identifier": "882840",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YOLO DENTAL PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devon Robert John Dimercurio, AMFT
• Thuy Dinh-Perez, PHARMD
• Diwan DDS Inc
• Diwan Dental Inc
• Ritesh Diwan, DMD
• Theodore DO
• Cynthia Louise Dominessy, D.D.S.
• Amanda Rose Donahue
• Erin Doolittle, MA-SLP, CA LICENSE
• Edie Dornbush, MFT

• General Practice Dentistry in Woodland, CA
• Providers in Woodland, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.