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WESTERN DENTAL SERVICES, INC.
NPI 1801363825
Dentist in Stockton, CA

Active since October 29, 2018
616 W HAMMER LN STE B, STOCKTON, CA 95210(209) 634-4092(209) 635-3510 Get Directions Write a Review

NPPES record last updated: February 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2019, Oct 29, 2018 (2 updates tracked since 2018).

About Western Dental Services, Inc. NPPES

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

WESTERN DENTAL SERVICES, INC. (NPI 1801363825) is a healthcare organization registered as a dentist in Stockton, California and active in the NPI registry since October 2018. The organization lists Preet Takkar, Chief Information Officer, as its authorized official.

NPPES Registry Identity

NPI1801363825
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWESTERN DENTAL SERVICES, INC.
Location Address616 W HAMMER LN STE BStockton, CA 95210-3749
Mailing Address530 S Main StOrange, CA 92868-4525 · (714) 571-2140 · Fax (714) 571-6445
Phone(209) 634-4092
Fax(209) 635-3510
Organization SubpartNo
Authorized OfficialPreet TakkarChief Information Officer · (714) 571-3372
Enumeration DateOctober 29, 2018
Last NPPES UpdateFebruary 13, 20192 updates tracked since enumeration
✔ NPI 1801363825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
616 W HAMMER LN STE B, Stockton, CA 95210
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Other Identifiers 1

MedicaidG90179CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MONA MOMENI MOGHADDAM
Dentist (Pediatric Dentistry)
616 W HAMMER LN STE B
STOCKTON, CA 95210
San Joaquin County (209) 634-4092

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 Western Dental Services, Inc.'s NPI number?

The NPI number for Western Dental Services, Inc. is 1801363825. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Western Dental Services, Inc. located?

Western Dental Services, Inc. is located at 616 W Hammer Ln Ste B, Stockton, CA 95210. The listed phone number is (209) 634-4092.

What is Western Dental Services, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Western Dental Services, Inc. was last updated on February 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.