NPIMap

Organization Active NPI

Gill and Ghazal Dental Corporation

  • General Practice Dentistry
  • Woodland, CA
National Provider Identifier
1104157478
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GILL AND GHAZAL DENTAL CORPORATION
Practice address
2041 Bronze Star Drive Suite 100
Woodland, CA 95776
Phone
(530) 662-7592
Fax
(530) 668-6526
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Dr. Amardeeo K Gill, DDS
Title
Owner Doctor
Phone
(530) 662-7592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2041 Bronze Star Drive Suite 100
Woodland, CA 95776

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2077

Other names 1

  • Woodland Smiles Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2338165Woodland Smiles Dentistry2041 Bronze Star Dr, Ste 100, Woodland, CA 95776Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory

Locations

2041 Bronze Star Dr
Ste 100
Woodland, CA 95776
Phone (530) 662-7592

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1104157478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "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": "2041 BRONZE STAR DRIVE SUITE 100",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "95776",
            "telephone_number": "530-662-7592",
            "fax_number": "530-668-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILL AND GHAZAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "AMARDEEO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "530-662-7592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.