Damerji Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAMERJI DENTAL CORPORATION

Practice address

4620 Convoy St Ste F
San Diego, CA 92111-2328

Phone

(858) 571-1105

Fax

(858) 573-1107

NPI assigned

Aug 17, 2021

Last updated

Sep 23, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Damerji, DDSNPI 1780904144

Title

President

Phone

(773) 562-1826

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George Damerji

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1780904144
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1023784469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 CONVOY ST STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112328",
            "telephone_number": "858-571-1105",
            "fax_number": "858-573-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 CONVOY ST STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112328",
            "telephone_number": "858-571-1105",
            "fax_number": "858-573-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMERJI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "DAMERJI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-562-1826",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "convoysmiles@gmail.com",
            "affiliation": "N",
            "address_1": "4620 Convoy St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921112328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Briana Marie Dambacher, MA, OTR/L
• Meghan Dambacher
• Jane Dambra, RBT
• Howard Parker Dambrose
• Christian Jordan Dameff, M.D.
• George Damerji
• Diane Katherine Dameron, LMFT
• Jasmine Damian
• Joshua Kaleb Damian
• Lucia Damian, AMFT #137820

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.