I Smile Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49617 Issued in CA

Legal business name

I SMILE DENTAL GROUP

Practice address

2710 N Grand Ave
Santa Ana, CA 92705-8750

Phone

(171) 460-2632

Fax

(714) 602-6275

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tu Quynh Nguyen, DDS

Title

Provider

Phone

(714) 602-6327

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1417497330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 N GRAND AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058750",
            "telephone_number": "171-460-2632",
            "fax_number": "714-602-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 N GRAND AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058750",
            "telephone_number": "171-460-2632",
            "fax_number": "714-602-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SMILE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "QUYNH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "17146026327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49617",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Yvonne Hyatt, RPH
• Debbie Yojin Hyun
• Hyung O. Kim, M. D. Inc
• Hyung O. Kim, M. D. Inc.
• Sophia Mary Hyzin, PHD
• Ian Fitz-Gibbon
• Kelli Iannarino
• Deniece Ibanez, BCBA
• Hector Ibarra Pacheco, NONE
• Amethyst Ibarra

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Feb 24, 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.