Fun Dental 4 Kids 2
Fun Dental 4 Kids · Dentist

Address: 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001
Phone: 3235621301

Fun Dental 4 Kids 2 (NPI# 1467902031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1467902031
Entity Type Organization
Organization Name FUN DENTAL 4 KIDS 2
Other Organization Name FUN DENTAL 4 KIDS
Practice Address 1014 E Manchester Ave
Suite I
Los Angeles
CA 90001
Practice Telephone 3235621301
Mailing Address 6383 Atlantic Ave
Bell
CA 90201-1227
Mailing Telephone 3235621301
Authorized Official Name Dr. John Yoo (OWNER)
Authorized Official Telephone 3235621301
Authorized Official Credential DDS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2016-10-07
Last Update Date 2016-11-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 122300000X Dentist Dental Providers 61918 CA
No 122300000X Dentist Dental Providers 61938 CA

Other Provider/Organization Names

Other Name Type Code
Fun Dental 4 Kids Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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NPI Name Taxonomy Address Enumeration
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1134729601 Enas Tayyem Dentist 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 2020-10-26
1639776073 Stephanie Jeanne Bauman Dentist 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 2020-10-08
1316544570 Azzah Widatalla Dentist 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 2020-10-01
1104433796 Irena Starchenko Dentist 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 2020-09-28
1134734353 Mark Park Dentist 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 2020-09-14
1740895150 Chantelle Aabedi Dentist 2711 Casiano Rd, Los Angeles, CA 90077-9007 2020-09-11
1801401542 Yojeong Cho Dentist 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 2020-09-10
1518572247 William Hwang Dentist 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 2020-09-10
1912511056 Shervin Moshashaei Dentist 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 2020-09-05
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Office Location

Street Address 1014 E MANCHESTER AVE
SUITE I
City LOS ANGELES
State CA
Zip Code 90001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730722539 Lisa Crockom Technician 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001 2019-10-24
1679047229 Rosario Montes Behavior Technician 6907 Hooper Ave, Los Angeles, CA 90001 2019-01-16
1295100709 Central City Community Health Center Clinic/Center 1236 E Florence Ave, Los Angeles, CA 90001 2015-12-09
1437596327 Natasha Nasha Andrews Clinic/Center 1620 E. 83rd Street, Los Angeles, CA 90001 2013-05-31
1679827943 Denise Michelle Betters Counselor 8019 S Compton Ave., Los Angeles, CA 90001 2012-11-07
1790050763 Animo Locke Tech Charter High School Community/Behavioral Health 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001 2012-03-09
1093021602 Larthia Renard Dunham Social Worker 8019 S. Compton Blvd., Los Angeles, CA 90001 2010-08-20
1114258761 Central City Comm Hlt Ctr Mobile Unit General Practice 5986 Central Avenue, Los Angeles, CA 90001 2010-01-21
1457688517 Yesenia Cruz Dental Assistant 1119 E 64th St., Los Angeles, CA 90001 2009-11-11
1396979001 Cecilia Echeverria Dental Assistant 1423 Gage Ave, Suite A West Coast Dental, La, CA 90001 2009-05-08
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Competitor

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City LOS ANGELES
Zip Code 90001

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.