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A TOOTH FAIRY DENTAL OFFICE OF SOPHEAP TANG, DMD
NPI 1255610242
Dentist - General Practice in Riverside, CA

Active since August 09, 2011
18876 VAN BUREN BLVD, 107, RIVERSIDE, CA 92508(951) 789-0200(951) 789-0245 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 23, 2020, Feb 13, 2020 (2 updates tracked since 2020).

About A Tooth Fairy Dental Office Of Sopheap Tang, Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A TOOTH FAIRY DENTAL OFFICE OF SOPHEAP TANG, DMD (NPI 1255610242) is a healthcare organization registered as a general practice in Riverside, California and active in the NPI registry since August 2011. The organization maintains a secondary practice location in Riverside and lists Sopheap Tang, President, as its authorized official.

NPPES Registry Identity

NPI1255610242
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOPHEAP TANG DMD DENTAL CORPORATION
Location Address18876 VAN BUREN BLVD, 107Riverside, CA 92508
Mailing Address18876 Van Buren Blvd, 107Riverside, CA 92508 · (951) 789-0200 · Fax (951) 789-0245
Phone(951) 789-0200
Fax(951) 789-0245
Organization SubpartYes
Authorized OfficialSopheap TangPresident · (951) 789-0200
Enumeration DateAugust 9, 2011
Last NPPES UpdateApril 23, 20202 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1255610242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · 56393✔ Licensed in CA · 57844
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 58240 (CA)
18876 VAN BUREN BLVD, Riverside, CA 92508
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Other Names 1

Doing Business AsA Tooth Fairy Dental Office Of Sopheap Tang, Dmd

Secondary Practice Location 1

Location 119040 Van Buren Blvd, 111Riverside, CA 92508-9159 · Phone (951) 789-0200 · Fax (951) 789-0245

Other Identifiers 1

Medicaid1255523593CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHERN CALIFORNIA EMERGENCY MEDICINE
Clinic/Center (Urgent Care)
18876 VAN BUREN BLVD, SUITE # 100
RIVERSIDE, CA 92508
Riverside County (951) 243-2200
DR. SOPHEAP TANG DMD
Dentist (General Practice)
18876 VAN BUREN BLVD, STE 107
RIVERSIDE, CA 92508
Riverside County (951) 789-0200
SO HYUN CHUNG
Dentist
18876 VAN BUREN BLVD, #107
RIVERSIDE, CA 92508
Riverside County (951) 789-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sopheap Tang Dmd Dental Corporation's NPI number?

The NPI number for Sopheap Tang Dmd Dental Corporation is 1255610242. It was assigned to this organization in the NPPES registry on August 9, 2011. The provider is doing business as A Tooth Fairy Dental Office Of Sopheap Tang, Dmd.

Where is Sopheap Tang Dmd Dental Corporation located?

Sopheap Tang Dmd Dental Corporation is located at 18876 Van Buren Blvd 107, Riverside, CA 92508. The listed phone number is (951) 789-0200.

What is Sopheap Tang Dmd Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sopheap Tang Dmd Dental Corporation accept?

Health plans from UnitedHealthcare list Sopheap Tang Dmd Dental Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sopheap Tang Dmd Dental Corporation was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.