Brian Tong Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRIAN TONG DENTAL CORP

Doing business as

Sonrisa Dental

Practice address

23361 El Toro Rd Ste 105
Lake Forest, CA 92630-4810

Phone

(949) 328-9531

NPI assigned

Apr 2, 2024

Organization subpart

No

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

Authorized official

Name

Brian Tong, DDSNPI 1639245616

Title

Ceo

Phone

(714) 657-5595

Specialties & licenses 1

Addresses

Other names 1

• Sonrisa Dental Doing business as

Practitioners 1

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

• Brian Ngoc Tong, DDS

  • Dentist
  • Lake Forest, CA
  • NPI 1639245616
  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1962254193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23361 EL TORO RD STE 105",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304810",
            "telephone_number": "949-328-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23361 EL TORO RD STE 105",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304810",
            "telephone_number": "949-328-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN TONG DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-657-5595",
        "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": "Sonrisa Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sonrisa Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mathilde Bourgon Coudoux
• Adel Boutros, MD
• Brent Bowling, D.D.S.
• Debra Michel Brancato, L.C.S.W.
• Kimberly Brassett, LMFT
• Bridgman Psychological Services, P.C.
• Laird Patrick Bridgman, PSY.D.
• Shari Bridgman, PH.D.
• Brightpath Mental Health LLC
• Brindha Subramanian, BDS, Inc.

• Dental Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, 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 Nov 19, 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.