DRS. Gantes & Smith, a Professional Dental Corp.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

DRS. GANTES & SMITH, A PROFESSIONAL DENTAL CORP.

Practice address

2999 Westminster Ave Ste 108
Seal Beach, CA 90740-5370

Phone

(562) 431-9739

Fax

(562) 683-0474

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bernard G Gantes, D.D.S., M.S.NPI 1902242019

Title

President

Phone

(562) 431-9739

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Bernard Georges Gantes, D.D.S., M.S.

  • Periodontics
  • Seal Beach, CA
  • NPI 1902242019
  NPD (past) Authorized official
• Diane Costandi, DDS

  • Periodontics
  • Seal Beach, CA
  • NPI 1053791046
  NPD (past)
• Ravipan I Smith, D.D.S., M.S.

  • Periodontics
  • Seal Beach, CA
  • NPI 1457365694
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1417970641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 WESTMINSTER AVE STE 108",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405370",
            "telephone_number": "562-431-9739",
            "fax_number": "562-683-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 WESTMINSTER AVE STE 108",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405370",
            "telephone_number": "562-431-9739",
            "fax_number": "562-683-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GANTES & SMITH, A PROFESSIONAL DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "GANTES",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-431-9739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Dominguez
• Dr Lee S Berman Optometry Inc
• Dr. Jill T. Smittle, Optometry, Inc.
• Dragonfly Optical Inc
• Marlene Barbara Driscoll
• Victoria Lynn Dunckley, M.D.
• Andrew Minh Duong, PT, DPT
• Ani R Dyln
• Desiree Rochelle Eakin, MD
• Jack Alan Ebner, D.C.

• Periodontics in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.