Provider Demographics
NPI:1043652951
Name:NALINI M JOKMELS,DDS, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:NALINI M JOKMELS,DDS, A PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NALINI
Authorized Official - Middle Name:MONITA
Authorized Official - Last Name:JOKMELS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-993-3702
Mailing Address - Street 1:4981 VALLEY VIEW AVE
Mailing Address - Street 2:SUITE-A
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3619
Mailing Address - Country:US
Mailing Address - Phone:714-993-3702
Mailing Address - Fax:714-993-3754
Practice Address - Street 1:4981 VALLEY VIEW AVE
Practice Address - Street 2:SUITE-A
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3619
Practice Address - Country:US
Practice Address - Phone:714-993-3702
Practice Address - Fax:714-993-3754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-19
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56538122300000X, 1223D0001X, 1223E0200X, 1223G0001X, 1223P0221X, 1223P0300X, 1223P0700X, 1223X0400X, 122400000X, 125J00000X, 125K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty
No1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
No122400000XDental ProvidersDenturistGroup - Single Specialty
No125J00000XDental ProvidersDental TherapistGroup - Single Specialty
No125K00000XDental ProvidersAdvanced Practice Dental TherapistGroup - Single Specialty