A Tooth Fairy Dental Office Of Sopheap Tang, Dmd is a Dental Clinic in Riverside, California. This organization is also known as sub part of Sopheap Tang Dmd Dental Corporation. It is located at 18876 Van Buren Blvd, 107, Riverside, CA and its contact number is 951-789-0200. The authorized person for A Tooth Fairy Dental Office Of Sopheap Tang, Dmd is Dr. Sopheap Tang
who is President of the clinic and their contact number is 951-789-0200. The primary license number for A Tooth Fairy Dental Office Of Sopheap Tang, Dmd is 56393 (General Practice) in California. A Tooth Fairy Dental Office Of Sopheap Tang, Dmd Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
A Tooth Fairy Dental Office Of Sopheap Tang, Dmd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
A Tooth Fairy Dental Office Of Sopheap Tang, Dmd
Specialization:
General Practice Dentistry
Clinic Address:
18876 Van Buren Blvd, 107, Riverside, California, 92508
Phone:
951-789-0200
Fax:
951-789-0245
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Sopheap Tang
Position:
President
Contact Number:
951-789-0200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for A Tooth Fairy Dental Office Of Sopheap Tang, Dmd clinic are as mentioned below.
NPI Number:
1255610242
Parent Organization:
Sopheap Tang Dmd Dental Corporation
NPI Enumeration Date:
09 Aug, 2011
NPI Last Update On:
23 Apr, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for A Tooth Fairy Dental Office Of Sopheap Tang, Dmd are as mentioned below.
Specialization
License Number
State
Status
General Practice
56393
California
Primary
General Practice
57844
California
Secondary
Pediatric Dentistry
58240
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1255523593
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
A Tooth Fairy Dental Office Of Sopheap Tang, Dmd 18876 Van Buren Blvd, 107 Riverside, California
Zip:
92508
Phone Number:
951-789-0200
Fax Number:
951-789-0245
Patients can reach A Tooth Fairy Dental Office Of Sopheap Tang, Dmd at 18876 Van Buren Blvd, 107, Riverside, California or can call to book an appointment on 951-789-0200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.