Lin and Johal Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LIN AND JOHAL DENTAL CORPORATION

Doing business as

My Kid's Dentist & Orthodontics

Practice address

9630 Bruceville Rd Ste 102
Elk Grove, CA 95757-5512

Phone

(916) 714-2543

Fax

(916) 885-1391

NPI assigned

Dec 20, 2021

Last updated

Dec 20, 2021By 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

Winston Lin, DDS

Title

Owner

Phone

(916) 714-2543

Specialties & licenses 1

Addresses

Other names 1

• My Kid's Dentist & Orthodontics Doing business as

Locations

Practitioners 1

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.

• Trang Pham, DMD

  • Pediatric Dentistry
  • Elk Grove, CA
  • NPI 1144925678
  NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1255091146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "916-714-2543",
            "fax_number": "916-885-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 BRUCEVILLE RD STE 102",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575512",
            "telephone_number": "916-714-2543",
            "fax_number": "916-885-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN AND JOHAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-714-2543",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Kid's Dentist & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilibeth Meza Dba Serrano Guest Home 2
• Lilibeth Meza Dba Serrano Guest Home 3
• Joe Timothy Lim, PHARMD, MS, MBA
• Queenie Lim, PT
• Chelcie Limcaco, PTA
• Allen I Lin, DO
• Hsiu-Fen Lin
• James T Lin, M.D.
• Shine Shong Lin, M.D.
• Wendy W. Lin, M.D.

• Dentist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.