Organization Active NPI

DRS. Ganglani, Johal, Dunning & Associates PLLC, II

Doing business as Fresh Dental

  • Dentist
  • Indian Trail, NC
National Provider Identifier
1518327634
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DRS. GANGLANI, JOHAL, DUNNING & ASSOCIATES PLLC, II
Doing business as
Fresh Dental
Practice address
331 Indian Trail Rd N
Indian Trail, NC 28079-7624
Phone
(704) 684-0195
NPI assigned
Mar 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Lisa Saxer
Title
Office Manager
Phone
(704) 549-9922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X NC Primary

Addresses

Primary practice location

331 Indian Trail Rd N
Indian Trail, NC 28079-7624

Mailing address

331 Indian Trail Rd N
Indian Trail, NC 28079-7624
Phone (704) 684-0195

Other names 1

  • Fresh Dental Doing business as

National Provider Directory

National Provider Directory

Locations

331 Indian Trail Rd N
Indian Trail, NC 28079
Phone (704) 684-0195

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1518327634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 INDIAN TRAIL RD N",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797624",
            "telephone_number": "704-684-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 INDIAN TRAIL RD N",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797624",
            "telephone_number": "704-684-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GANGLANI, JOHAL, DUNNING & ASSOCIATES PLLC, II",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SAXER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-549-9922"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.