Organization Active NPI

Refined White Smiles Dental Hygiene Practice of Robert Aviles Rdhap

  • Dental Hygienist
  • Fontana, CA
National Provider Identifier
1245931104
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
REFINED WHITE SMILES DENTAL HYGIENE PRACTICE OF ROBERT AVILES RDHAP
Practice address
7426 Tyler LN
Fontana, CA 92336-5431
Phone
(909) 518-5010
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Robert AvilesNPI 1629707997
Title
Owner
Phone
(909) 518-5010

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)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

7426 Tyler LN
Fontana, CA 92336-5431

Mailing address

7426 Tyler LN
Fontana, CA 92336-5431
Phone (909) 518-5010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1245931104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 TYLER LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365431",
            "telephone_number": "909-518-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 TYLER LN",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365431",
            "telephone_number": "909-518-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINED WHITE SMILES DENTAL HYGIENE PRACTICE OF ROBERT AVILES RDHAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-518-5010"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.