Dentists Dynamic Services Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

41390 Issued in CA

Legal business name

DENTISTS DYNAMIC SERVICES INC

Doing business as

Deguzman Childrens Dentistry and Orthodontics

Practice address

5060 Sunrise Blvd
Suite A5
Fair Oaks, CA 95628-4944

Phone

(916) 910-0708

Fax

(916) 910-0751

NPI assigned

Apr 15, 2017

Last updated

Apr 15, 2017By 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

Mr. Anthony Escano De Guzman Sr.

Title

Administrator

Phone

(916) 919-5721

Specialties & licenses 1

Addresses

Other names 1

• DEGUZMAN CHILDRENS DENTISTRY AND ORTHODONTICS Doing business as

Locations

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492214400000",
    "number": "1528592672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 SUNRISE BLVD",
            "address_2": "SUITE A5",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284944",
            "telephone_number": "916-910-0708",
            "fax_number": "916-910-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 SUNRISE BLVD",
            "address_2": "SUITE A5",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284944",
            "telephone_number": "916-910-0708",
            "fax_number": "916-910-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS DYNAMIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2017-04-15",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ESCANO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-919-5721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "41390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEGUZMAN CHILDRENS DENTISTRY AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carla Gayl De Rose, MFT
• Macie Miken Delaney, RADT
• David Martin Delapp, D.C.
• Lara Barhoum Demaio, PHYSICIAN ASSISTANT
• Dental Excellence Inc
• Aleksey Derevyanchuk, CADC II
• Bridget Mary Deterding
• Jerome Devase
• Karanveer Singh Dhillon, DDS
• Jocelyn Diaz

• Pediatric Dentistry in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.