Dental Board of California
Licensing details for: 47258
Name: EVANGELISTA, RICHARD CARLOS
License Type: Dentist
Primary Status: Current - Active
Address of Record
450 Sutter St
#2633
SAN FRANCISCO CA 94108-4206
SAN FRANCISCO county
Map
License Relationships
CS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Conscious Sedation Permit
Name: EVANGELISTA, RICHARD CARLOS
License/Registration Type: Conscious Sedation Permit
License Number: 771 Primary Status: Cancelled
Address :
194 FRANCISCO LANE #112
FREMONT CA 94539
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESIGNING SMILES AT MISSION HILLS, DENTAL OFFICE OF RICHARD C. EV
License/Registration Type: Fictitious Name Permit
License Number: 6592 Primary Status: Cancelled
Address :
194 FRANCISCO LANE
STE. 112
FREMONT CA 94539
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BRENTWOOD DENTAL CENTER, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5819 Primary Status: Expired
Address :
5611 Lone Tree Way Ste 140
BRENTWOOD CA 94513-5315
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALAMO PLAZA DENTAL GROUP OF DR. RICHARD EVANGELISTA & DR. ALDRIN
License/Registration Type: Fictitious Name Permit
License Number: 8901 Primary Status: Cancelled
Address :
220 E ALAMO PLAZA
ALAMO CA 94507
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: DESIGNING SMILES SAN FRANCISCO DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18207 Primary Status: Current - Active
Address :
450 SUTTER STREET., SUITE 2633
SAN FRANCISCO CA 94106
SAN FRANCISCO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PARK PLACE DENTAL SAN MATEO DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18206 Primary Status: Expired
Address :
1100 PARK PLACE., SUITE 30
SAN MATEO CA 94403
SAN MATEO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BELLA VITA DENTAL HILLCREST DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18204 Primary Status: Expired
Address :
3900 FIFTH AVENUE., SUITE 500
SAN DIEGO CA 92103
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ROCKAWAY BEACH DENTAL GROUP DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18200 Primary Status: Expired
Address :
205 ROCKAWAY BEACH AVENUE., SUITE 7 AND 8
PACIFICA CA 94044
SAN MATEO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PACIFIC HEIGHTS DENTAL DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18201 Primary Status: Expired
Address :
2383 CALIFORNIA STREET
SAN FRANCISCO CA 94115
SAN FRANCISCO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VILLA LA JOLLA DENTAL, OFFICE OF RICHARD C. EVANGELISTA, D.D.S.,
License/Registration Type: Fictitious Name Permit
License Number: 11708 Primary Status: Cancelled
Address :
8861 VILLA LA JOLLA DR STE 501
LA JOLLA CA 92037
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PLAZA DENTAL GROUP DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18202 Primary Status: Expired
Address :
4205 SAN FELIPE ROAD., SUITE 200
SAN JOSE CA 95135
SANTA CLARA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: OLYMPIC DENTAL OF WALNUT CREEK DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18205 Primary Status: Current - Active
Address :
1901 OLYMPIC BOULEVARD., SUITE 105
WALNUT CREEK CA 94596
CONTRA COSTA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: BERKELEY DENTAL CENTER DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18199 Primary Status: Expired
Address :
2999 REGENT STREET.,SUITE 714 AND 720
BERKELEY CA 94705
ALAMEDA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: THE DENTAL SPA AT MISSION HILLS, DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 4567 Primary Status: Cancelled
Address :
194 FRANCISCO LN, STE 112
FREMONT CA 94539
ALAMEDA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DESIGNING SMILES AT MISSION HILLS, DENTAL OFFICE OF RICHARD C. EV
License/Registration Type: Fictitious Name Permit
License Number: 6592 Primary Status: Cancelled
Address :
194 FRANCISCO LANE
STE. 112
FREMONT CA 94539
ALAMEDA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: DESIGNING SMILES SAN FRANCISCO DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18207 Primary Status: Current - Active
Address :
450 SUTTER STREET., SUITE 2633
SAN FRANCISCO CA 94106
SAN FRANCISCO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PLAZA DENTAL GROUP DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18202 Primary Status: Expired
Address :
4205 SAN FELIPE ROAD., SUITE 200
SAN JOSE CA 95135
SANTA CLARA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: BELLA VITA DENTAL HILLCREST DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18204 Primary Status: Expired
Address :
3900 FIFTH AVENUE., SUITE 500
SAN DIEGO CA 92103
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: VILLA LA JOLLA DENTAL, OFFICE OF RICHARD C. EVANGELISTA, D.D.S.,
License/Registration Type: Fictitious Name Permit
License Number: 11708 Primary Status: Cancelled
Address :
8861 VILLA LA JOLLA DR STE 501
LA JOLLA CA 92037
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: BERKELEY DENTAL CENTER DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18199 Primary Status: Expired
Address :
2999 REGENT STREET.,SUITE 714 AND 720
BERKELEY CA 94705
ALAMEDA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: BRENTWOOD DENTAL CENTER, DENTAL PRACTICE OF
License/Registration Type: Fictitious Name Permit
License Number: 5819 Primary Status: Expired
Address :
5611 Lone Tree Way Ste 140
BRENTWOOD CA 94513-5315
CONTRA COSTA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PARK PLACE DENTAL SAN MATEO DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18206 Primary Status: Expired
Address :
1100 PARK PLACE., SUITE 30
SAN MATEO CA 94403
SAN MATEO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ROCKAWAY BEACH DENTAL GROUP DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18200 Primary Status: Expired
Address :
205 ROCKAWAY BEACH AVENUE., SUITE 7 AND 8
PACIFICA CA 94044
SAN MATEO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: OLYMPIC DENTAL OF WALNUT CREEK DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18205 Primary Status: Current - Active
Address :
1901 OLYMPIC BOULEVARD., SUITE 105
WALNUT CREEK CA 94596
CONTRA COSTA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PACIFIC HEIGHTS DENTAL DENTAL GROUP OF RICHARD C. EVANGELISTA, DDS
License/Registration Type: Fictitious Name Permit
License Number: 18201 Primary Status: Expired
Address :
2383 CALIFORNIA STREET
SAN FRANCISCO CA 94115
SAN FRANCISCO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ALAMO PLAZA DENTAL GROUP OF DR. RICHARD EVANGELISTA & DR. ALDRIN
License/Registration Type: Fictitious Name Permit
License Number: 8901 Primary Status: Cancelled
Address :
220 E ALAMO PLAZA
ALAMO CA 94507
CONTRA COSTA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: THE DENTAL SPA AT MISSION HILLS, DENTAL PRACTICE,
License/Registration Type: Fictitious Name Permit
License Number: 4567 Primary Status: Cancelled
Address :
194 FRANCISCO LN, STE 112
FREMONT CA 94539
ALAMEDA COUNTY
Registered Dental Hygienist Alternative Practice to Dentist
License/Registration Role: Dentist
Related Party Role: Registered Dental Hygienist Alternative Practice
Name: REED, LORI ANN
License/Registration Type: Registered Dental Hygienist Alternative Practice
License Number: 429 Primary Status: Retired
Address Not Disclosed
