Abdolhosseini, DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50715 Issued in CA

Legal business name

ABDOLHOSSEINI, DDS INC

Doing business as

Pine Center Dental Group

Practice address

5771 Pine Ave #5
Chino Hills, CA 91709

Phone

(909) 597-2477

Fax

(909) 597-3772

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Hossein Abdolhosseini, D.D.S

Title

Owner

Phone

(909) 597-2477

Specialties & licenses 1

Addresses

Other names 2

• Pine Center Dental Group Doing business as
• Abdolhosseini & Vahabi, D.D.S., INC Former legal business name

Locations

Practitioners 2

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

• Maral Khazali, DDS

  • Dentist
  • Chino Hills, CA
  • NPI 1558612945
  NPD (past)
• Samyeh Vahabi, D.D.S.

  • Endodontics
  • Chino Hills, CA
  • NPI 1841474996

  General Practice

  NPD (past)

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1306176920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5771 PINE AVE #5",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-597-2477",
            "fax_number": "909-597-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 PINE AVE #5",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "91709",
            "telephone_number": "909-597-2477",
            "fax_number": "909-597-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDOLHOSSEINI, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "ABDOLHOSSEINI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-597-2477",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Center Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pine Center Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abdolhosseini & Vahabi, D.D.S., INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• A & T Santos Dental Corporation
• Sandy Heshmat Shinouda Abadir, RPH
• Hossein Abdolhosseini, D.D.S.
• Saman Aboudi, MD
• Enrique Abreu, DPT
• Zoe Margalit Abronson
• Ace Medical Group a Professional Corporation (Pine Avenue Urgent Care)

• General Practice Dentistry in Chino Hills, CA
• Providers in Chino Hills, 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 Nov 1, 2021; 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.