Don Schubothe Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35994 Issued in CA

Legal business name

DON SCHUBOTHE DENTAL, INC.

Doing business as

Plaza Dental Group

Practice address

23767D Sunnymead Blvd
Moreno Valley, CA 92553

Phone

(951) 924-2433

Fax

(951) 924-2433

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Don Philip Schubothe, DDS

Title

President

Phone

(951) 924-2433

Specialties & licenses 1

Addresses

Other names 1

• Plaza Dental Group Doing business as

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1114140506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23767D SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "951-924-2433",
            "fax_number": "951-924-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23767D SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "951-924-2433",
            "fax_number": "951-924-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON SCHUBOTHE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "SCHUBOTHE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-924-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harmonee McKenzie Dodson
• Alicia Dollison
• Andrea Alejandra Dominguez, RD
• Johnny Gabriel Dominguez
• Roberto Dominicci Rodriguez, PPS
• Donald L Iman DDS Inc.
• William Donald, RN, EMT-P, ATC
• Livia Anastasia Donets, PA-C
• Dong S. Kim, M.D., Inc
• David K Dong, M.D.

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, 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 Jun 25, 2014; 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.