Abdeshahian and Nguyen Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ABDESHAHIAN AND NGUYEN DENTAL CORPORATION

Doing business as

Stanton Smiles Dentistry Dental Group

Practice address

12919 Beach Blvd
Stanton, CA 90680-4001

Phone

(714) 771-2982

Fax

(714) 907-4409

NPI assigned

Jun 26, 2019

Last updated

Feb 1, 2022By 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

Iman Abdeshahian, DMD

Title

GP/Owner

Phone

(714) 771-2982

Specialties & licenses 1

Addresses

Other names 1

• Stanton Smiles Dentistry Dental Group Doing business as

Locations

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1316508674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12919 BEACH BLVD",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804001",
            "telephone_number": "714-771-2982",
            "fax_number": "714-907-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDESHAHIAN AND NGUYEN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "ABDESHAHIAN",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "GP/OWNER",
        "authorized_official_telephone_number": "714-771-2982",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanton Smiles Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanton Smiles Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Stanton, CA
• Providers in Stanton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.