Gentle Dental Professsional

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47009 Issued in CA

Legal business name

GENTLE DENTAL PROFESSSIONAL

Practice address

4959 Arlington Ave Ste J
Riverside, CA 92504-2756

Phone

(951) 688-4772

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Man Vo, DDSNPI 1710027057

Title

General Partner

Phone

(951) 688-4772

Specialties & licenses 1

Addresses

Tax ID family

Gentle Dental Professional2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Man Vo and Tina Vo DDS

  • Dentist
  • Riverside, CA
  • NPI 1689057614
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Man Minh Vo, D.D.S.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1710027057
  NPD (past) Authorized official
• Thuy Nguyen Vo, D.D.S.

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1720110554
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1063645125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 ARLINGTON AVE STE J",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042756",
            "telephone_number": "951-688-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 ARLINGTON AVE STE J",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042756",
            "telephone_number": "951-688-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL PROFESSSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "MAN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "951-688-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fekede W. Gemechu, MD
• Karen Genco, PA
• Genesis Laboratories, Inc.
• Yvette Gengania
• Shane Gentis
• Mikel Clifford Gentry, MD
• Dedric Janard George Sr.
• Dwayne F George, LCSW
• Ingrid K George, PT
• Jewel George

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, 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 Aug 24, 2009; 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.