Tejdeep S Rattan DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TEJDEEP S RATTAN DDS INC

Doing business as

Innovo Dental and Implant Studio

Practice address

2955 N Corral Hollow Rd Ste 100
Tracy, CA 95376-8800

Phone

(937) 369-7843

NPI assigned

Jun 1, 2020

Last updated

Jun 1, 2020By 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

Tejdeep S Rattan, DDSNPI 1699095505

Title

President

Phone

(937) 369-7843

Specialties & licenses 1

Addresses

Other names 1

• Innovo Dental and Implant Studio Doing business as

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.

• Tejdeep Singh Rattan, DDS

  • Dentist
  • Mountain House, CA
  • NPI 1699095505
  NPD Authorized official

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1043834468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 N CORRAL HOLLOW RD STE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953768800",
            "telephone_number": "937-369-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 N CORRAL HOLLOW RD STE 100",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953768800",
            "telephone_number": "937-369-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJDEEP S RATTAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "RATTAN",
        "authorized_official_first_name": "TEJDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-369-7843",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovo Dental and Implant Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malika Tbaini
• TCMH Inc
• TCMH, Inc. (The Chinese Medicine Health Clinic)
• Tech Diamond Health Care
• Melissa Teixeira
• James Teng, MD
• Paul A Teranishi, D.D.S.
• Alondra Terrones
• Tyler Thanh
• Mai Her Thao

• Dental Clinic/Center in Tracy, CA
• Providers in Tracy, 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 Jun 1, 2020; 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.