Pou Dental Practice Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

61204 Issued in CA

Legal business name

POU DENTAL PRACTICE INC.

Practice address

135 1/2 S Knott Ave
Anaheim, CA 92804-1406

Phone

(714) 236-9702

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sarah Laura Pou, DDS

Title

Dentist

Phone

(949) 630-7586

Specialties & licenses 1

Addresses

Other names 1

• Vidal Dental Care Doing business as

Locations

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1639521982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 1/2 S KNOTT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041406",
            "telephone_number": "714-236-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 1/2 S KNOTT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041406",
            "telephone_number": "714-236-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POU DENTAL PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-630-7586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vidal Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexandrea Simone Portouw
• Florica Potra-Cionca, PA
• Scott L Potter
• Ashley Lynn Potthoff, M.S. CCC-SLP
• Gregory Potts
• Justin Poulos
• Brandon Pourazima, PA-C
• Pouria Maleki DDS II Inc
• Ryley Powell
• Brianna Lynn Power

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.