Edward Leong, D.D.S. a Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46199 Issued in CA

Legal business name

EDWARD LEONG, D.D.S. A PROFESSIONAL DENTAL CORPORATION

Practice address

76 E Foothill Blvd
Upland, CA 91786-3945

Phone

(909) 946-5656

NPI assigned

Oct 27, 2006

Last updated

Aug 22, 2020By 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

Dr. Edward Leong, D.D.S.NPI 1891995320

Title

President

Phone

(909) 946-5656

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Chiwing Leong, D.D.S.

  • Dentist
  • Upland, CA
  • NPI 1891995320
  NPD (past) Authorized official
• Rachel Yipei Leong, D.D.S.

  • Dentist
  • Upland, CA
  • NPI 1700086238
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407931264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 ANITA CREST DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910061608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863945",
            "telephone_number": "909-946-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD LEONG, D.D.S. A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-946-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zohal Ebrahimi, DMD
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• Tina Marie Egner, APRN, CNM
• Rebekah Eguia-Ramirez

• General Practice Dentistry in Upland, CA
• Providers in Upland, 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 Aug 22, 2020; 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.