Advanced Dental Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55534 Issued in CA

Legal business name

ADVANCED DENTAL SMILES

Practice address

455 W. Foothill Blvd
Glendora, CA 91741

Phone

(626) 914-9808

Fax

(626) 914-9803

NPI assigned

Mar 26, 2010

Last updated

Mar 26, 2010By 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

Loan Phuong Dao, DDSNPI 1366655524

Title

Dentist-Owner

Phone

(626) 914-9808

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Loan Phuong Dao, DDS

  • Dentist
  • Glendora, CA
  • NPI 1366655524

  General Practice

  NPD (past) Authorized official
• Loan K Dao, D.D.S.

  • Dentist
  • Glendora, CA
  • NPI 1730379314

  General Practice

  NPD (past)

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1073837548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W. FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91741",
            "telephone_number": "626-914-9808",
            "fax_number": "626-914-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W. FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91741",
            "telephone_number": "626-914-9808",
            "fax_number": "626-914-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "DENTIST-OWNER",
        "authorized_official_telephone_number": "626-914-9808",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Glendora, CA
• Providers in Glendora, 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 Mar 26, 2010; 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.