Dai Le Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47748 Issued in CA

Legal business name

DAI LE DENTAL CORPORATION

Practice address

9340 W Stockton Blvd Ste 120
Elk Grove, CA 95758-8014

Phone

(916) 684-8373

Fax

(916) 684-8175

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Thi Yee

Title

Buisness Manager

Phone

(916) 684-8373

Specialties & licenses 1

Addresses

Other names 1

• Laguna Children's Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sally Mohammed Alsadi, D.D.S

  • Dentist
  • Elk Grove, CA
  • NPI 1639401292
  NPD (past)
• Thomas James Nguyen, DDS

  • General Practice Dentistry
  • Elk Grove, CA
  • NPI 1174772040
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1881926673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 W STOCKTON BLVD STE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588014",
            "telephone_number": "916-684-8373",
            "fax_number": "916-684-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9340 W STOCKTON BLVD STE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588014",
            "telephone_number": "916-684-8373",
            "fax_number": "916-684-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAI LE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "BUISNESS MANAGER",
        "authorized_official_telephone_number": "916-684-8373",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Children's Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dion Dacasin, PHARMD
• Krista Courtney Dizon Dacasin, MSN, APRN-CNP, FNP-C
• Raffie Villanueva Dacasin, BSN, MSN, APRN, NP-C
• Rachel Quinn Daharsh
• Marcus N Dahlstrom, M.D.
• Olivia Dalbert
• Dalla DDS Inc
• Dalla Dental Group
• Dalla Dental Group Elk Grove Inc.
• Devan Dalla, DDS

• General Practice Dentistry in Elk Grove, CA
• Providers in Elk Grove, 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 4, 2010; 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.