Eze Dental Coporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56954 Issued in CA

Legal business name

EZE DENTAL COPORATION

Practice address

121 W Foothill Blvd
Suite E
Upland, CA 91786-3890

Phone

(909) 982-9800

Fax

(888) 741-6009

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kenechukwu Eze, D.D.S

Title

Ceo

Phone

(909) 982-9800

Specialties & licenses 1

Addresses

Other names 1

• Upland Dental Aesthetics & Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1497080246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W FOOTHILL BLVD",
            "address_2": "SUITE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863890",
            "telephone_number": "909-982-9800",
            "fax_number": "888-741-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W FOOTHILL BLVD",
            "address_2": "SUITE E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863890",
            "telephone_number": "909-982-9800",
            "fax_number": "888-741-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZE DENTAL COPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "KENECHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-982-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upland Dental Aesthetics & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Excel Care Home Health Services, Inc.
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• Exceptional Wound Care
• Express Medical Transportation Inc.
• Patrick Ezeli
• F Jimenez Medical Corporation
• F Jimenez Medical Corporation
• F&M Radiology Medical Center Inc
• Cecilia Fabris, MFTI

• 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 Oct 13, 2009; 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.