Active NPI
Rania N. Refaat, DDS, a Prof. Dental Corp
- Dental Clinic/Center
- Upland, CA
National Provider Identifier
1043556426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 46326
- Legal business name
- RANIA N. REFAAT, DDS, A PROF. DENTAL CORP
- Practice address
- 304 N. Mountain Ave.
Upland, CA 91786 - Phone
- (909) 989-1758
- Fax
- (909) 989-9874
- NPI assigned
- Dec 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rania N. Refaat, DDS
- Title
- Owner/Dentist/President
- Phone
- (909) 989-1758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 46326 | CA | Primary |
Addresses
Primary practice location
304 N. Mountain Ave.
Upland, CA 91786
Mailing address
304 N. Mountain Ave.
Upland, CA 91786
Phone (909) 989-1758
National Provider Directory
National Provider DirectoryLocations
7388 Carnelian St
Ste C
Rancho Cucamonga, CA 91730
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Upland, CA
- NPI 1104974856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632441600000",
"number": "1043556426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N. MOUNTAIN AVE.",
"city": "UPLAND",
"state": "CA",
"postal_code": "91786",
"telephone_number": "909-989-1758",
"fax_number": "909-989-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N. MOUNTAIN AVE.",
"city": "UPLAND",
"state": "CA",
"postal_code": "91786",
"telephone_number": "909-989-1758",
"fax_number": "909-989-9874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANIA N. REFAAT, DDS, A PROF. DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-12",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A",
"authorized_official_last_name": "REFAAT",
"authorized_official_first_name": "RANIA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "OWNER/DENTIST/PRESIDENT",
"authorized_official_telephone_number": "909-989-1758",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "46326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.