Carolyn Ghazal, D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CAROLYN GHAZAL, D.D.S., INC

Doing business as

Menifee Dental Group

Practice address

29950 Haun Rd
Ste 302
Sun City, CA 92586-6526

Phone

(951) 679-1667

Fax

(951) 679-8664

NPI assigned

Feb 26, 2009

Last updated

Feb 26, 2009By 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

Dr. Carolyn G Ghazal, DDS

Title

Owner Doctor

Phone

(951) 679-1667

Specialties & licenses 1

Addresses

Other names 1

• MENIFEE DENTAL GROUP Doing business as

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1053551317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29950 HAUN RD",
            "address_2": "STE 302",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866526",
            "telephone_number": "951-679-1667",
            "fax_number": "951-679-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN GHAZAL, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "GHAZAL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "951-679-1667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENIFEE DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Sun City, CA
• Providers in Sun City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.