DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WESTERN DENTAL SERVICE, INC

MEDICARE: WESTERN DENTAL SERVICE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225554793
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTERN DENTAL SERVICE, INC
Provider Business Mailing Address
First Line : 530 S MAIN ST
Second Line :
City : ORANGE
State : CA
Zip : 92868-4525
Country : US
Telephone Number : 714-480-3000
Fax Number : 714-571-6445
Provider Business Practice Location Address
First Line : 2144 S BRISTOL ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-5123
Country : US
Telephone Number : 714-619-6280
Fax Number : 714-619-6288
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : PREET TAKKAR
Credential :
Telephone Number : 714-571-3372
Provider Enumeration Date : 08/16/2017
Last Update Date : 06/30/2022

Similar Medicare Providers

1508912874 — DR. LISA VO NGUYEN DDS
Practice Location Address:
2144 S BRISTOL ST
SANTA ANA, CA
92704-5123
Practice Phone: 714-619-6280
Practice Fax: 323-249-7565
1841336898 — DR. PETER CHEN
Practice Location Address:
2144 S BRISTOL ST
SANTA ANA, CA
92704-5123
Practice Phone: 714-784-5779
Practice Fax: 323-249-7565
1871632745 — SCOTT JACKS, DDS, INC
Practice Location Address:
2144 S BRISTOL ST
SANTA ANA, CA
92704-5123
Practice Phone: 714-619-6280
Practice Fax: 323-249-7565
1811037989 — CHRISTOPHE LE-HUAN-CUA I DDS
Practice Location Address:
2144 S BRISTOL ST
SANTA ANA, CA
92704-5123
Practice Phone: 714-619-6280
Practice Fax:
1942447644 — JOANNE KARLA ELLORIN GABOT-HEYMAN D.D.S.
Practice Location Address:
2144 S BRISTOL ST
SANTA ANA, CA
92704-5123
Practice Phone: 714-784-5779
Practice Fax:
1881548626 — COUNTY OF SONOMA
Practice Location Address:
635 HEALDSBURG AVE
SANTA ROSA, CA
95401-5123
Practice Phone: 707-565-4700
Practice Fax:

Directions to “WESTERN DENTAL SERVICE, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.