Dr. Mak Dental Corp.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

38083 Issued in CA

Legal business name

DR. MAK DENTAL CORP.

Practice address

1234 S Garfield Ave
Suite 108
Alhambra, CA 91801-5065

Phone

(626) 308-3933

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert K Mak, DDSNPI 1376672980

Title

Director

Phone

(626) 308-3933

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gilbert K Mak, D.D.S.

  • Pediatric Dentistry
  • Alhambra, CA
  • NPI 1376672980
  NPD (past) Authorized official

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1285810036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S GARFIELD AVE",
            "address_2": "SUITE 108",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015065",
            "telephone_number": "626-308-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S GARFIELD AVE",
            "address_2": "SUITE 108",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015065",
            "telephone_number": "626-308-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MAK DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-308-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B38083-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.