NPIMap

Organization Active NPI

Ghazal and Lambridis Dental Corporation

Doing business as Marketplace Smiles Dentistry Dental Group

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1558769638
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GHAZAL AND LAMBRIDIS DENTAL CORPORATION
Doing business as
Marketplace Smiles Dentistry Dental Group
Practice address
6623 N Riverside Dr
Suite 101
Fresno, CA 93722-9308
Phone
(559) 547-3120
Fax
(559) 547-3110
NPI assigned
Dec 5, 2014
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Dr. Carolyn G Ghazal, DDS
Title
Owner
Phone
(559) 547-3120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

6623 N Riverside Dr
Suite 101
Fresno, CA 93722-9308

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Marketplace Smiles Dentistry Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

6623 N Riverside Dr
Ste 101
Fresno, CA 93722
Phone (559) 547-3120

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1558769638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6623 N RIVERSIDE DR",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229308",
            "telephone_number": "559-547-3120",
            "fax_number": "559-547-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZAL AND LAMBRIDIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "GHAZAL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-547-3120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marketplace Smiles Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.