Village Square Dental Center, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

46092 Issued in CA

Legal business name

VILLAGE SQUARE DENTAL CENTER, INC.

Practice address

8265 Village Pkwy
Ste. E
Dublin, CA 94568-1254

Phone

(925) 875-9700

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Maria Ligaya Bravo

Title

Dentist

Phone

(925) 875-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1386176790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8265 VILLAGE PKWY",
            "address_2": "STE. E",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681254",
            "telephone_number": "925-875-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 VILLAGE PKWY",
            "address_2": "STE. E",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681254",
            "telephone_number": "925-875-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SQUARE DENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "MARIA LIGAYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "925-875-9700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962629097",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Vierra
• Stephen Robert Viess, MD
• Syra Vieth
• Natalie Jean Vigil
• Javier N/a Villa Mejia
• Mayra Villagrana
• Chaela Villanueva Canete
• Karen A Villanueva
• Kathryn Villarreal
• Leticia Villarreal

• Dentist in Dublin, CA
• Providers in Dublin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.