Dr. Man's Dental Practice Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. MAN'S DENTAL PRACTICE INC

Doing business as

SA Dental
WOW Dental West Covina

Practice address

266 S Glendora Ave
West Covina, CA 91790-3042

Phone

(626) 598-3344

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Chun Piu Man, DDS

Title

Ceo

Phone

(951) 505-8862

Specialties & licenses 1

Addresses

Other names 2

• SA Dental Doing business as
• WOW Dental West Covina Doing business as

Locations

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1740744184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903042",
            "telephone_number": "626-598-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903042",
            "telephone_number": "626-598-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 E 17th St Ste N156",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927012215",
            "country_code": "US",
            "telephone_number": "714-852-3140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MAN'S DENTAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "MAN",
        "authorized_official_first_name": "CHUN PIU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-505-8862",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SA Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WOW Dental West Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.