Noel Ayala
Individual provider Active NPI General Practice Dentistry · Hesperia, CA
NPI 1154977700 · NPPES record last updated Aug 9, 2019
Key facts
- NPI
- 1154977700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 104137 (CA)
- Practice address
- 18313 Bear Valley Rd
Hesperia, CA 92345-4970 - Phone
- (760) 949-2241
- NPI assigned
- Aug 9, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104137 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeler Dental Group Inc. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104137 | CA | Yes |
Addresses
Primary practice location
18313 Bear Valley Rd
Hesperia, CA 92345-4970
Mailing address
47615 Corta Herrera
Indio, CA 92201-6877
Phone (760) 702-2160
Other providers in Hesperia, CA
- Gustavo Avila
- Vaneza Avila
- Peter Awad
- Katherine Madai Ayala Rodriguez
- Alondra Marie Ayala
- Shahzad Mohammed Azad
- B C Kim DDS Inc
- Nicole Isabel Baca
- Teresa L Baddeley
- Nahiris Maria Bahamon
All providers in Hesperia, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.