Dental Health Corona

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53592 Issued in CA

Legal business name

DENTAL HEALTH CORONA

Practice address

4264 Green River Rd
Corona, CA 92880-1632

Phone

(951) 340-0200

Fax

(951) 278-9858

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Leticia Valenzuela

Title

Area Manager

Phone

(951) 340-0200

Specialties & licenses 1

Addresses

Tax ID family

Dental Health Corona3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Health Riverside

  • General Practice Dentistry
  • Riverside, CA
  • NPI 1508021924
  NPD tax ID
• Royal Smile Center

  • Dentist
  • Anaheim, CA
  • NPI 1922452309
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitra Bolbolan Macmillan, D.D.S

  • Periodontics
  • Corona, CA
  • NPI 1497964514
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1790931046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 GREEN RIVER RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928801632",
            "telephone_number": "951-340-0200",
            "fax_number": "951-278-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 GREEN RIVER RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928801632",
            "telephone_number": "951-340-0200",
            "fax_number": "951-278-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH CORONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "AREA MANAGER",
        "authorized_official_telephone_number": "951-340-0200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursula Dellinger
• Dena M. Mintz, O.D., a Professional Corporation
• Bryce Denham
• Cheyenne Linnea Denison
• Dental Corporation of Charles Rodgers, DDS (South Corona Dental Group)
• Dental Training Services (Sleep Billing Services)
• Dentists at Lakeside, Prof. Corp. (Dentists at Lakeside)
• Brittney Depue
• Sared Deras
• Derek Q Phan MD Medical Corporation

• General Practice Dentistry in Corona, CA
• Providers in Corona, 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 Aug 18, 2008; 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.