Magaly C Ketron, DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MAGALY C KETRON, DMD INC

Practice address

4138 Dyer St Ste 2
Union City, CA 94587-3975

Phone

(510) 487-0311

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Magaly C Ketron, DMDNPI 1396377834

Title

Ceo

Phone

(925) 451-7399

Specialties & licenses 1

Addresses

Other names 1

• Dyer 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.

• Magaly Ketron

  • General Practice Dentistry
  • American Canyon, CA
  • NPI 1396377834
  NPD Authorized official
• Ernest H Wong, DMD

  • General Practice Dentistry
  • Union City, CA
  • NPI 1518526821
  NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1932954401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4138 DYER ST STE 2",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873975",
            "telephone_number": "510-487-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 DYER ST STE 2",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873975",
            "telephone_number": "510-487-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGALY C KETRON, DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "KETRON",
        "authorized_official_first_name": "MAGALY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-451-7399",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dyer Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justyce Mariah Lee Lynch
• M R Jones Chiropractic Health Services Inc
• Renee Mabon
• Brian Allan Celones Macapinlac, PHARMD
• Mackinzy Mental Health Clinic
• Kelly Anne Magee-O'Dea, LCSW
• Jacqueline Ann Magno Lagasca, M.D.
• Olivia B Magno, DDS
• Michael Magtoto, DMD, MMSC, DDS
• Veronica Singh Maharaj

• General Practice Dentistry in Union City, CA
• Providers in Union City, 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 Apr 18, 2024; 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.