Ash M Dason DDS, a Proffesional Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

62483 Issued in CA

Legal business name

ASH M DASON DDS, A PROFFESIONAL DENTAL CORP

Practice address

3972 N Waterman Ave
Suit 110
San Bernardino, CA 92404-1700

Phone

(909) 888-6581

NPI assigned

Mar 30, 2017

Organization subpart

No

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

Authorized official

Name

Ash Moses Dason

Title

DDS

Phone

(909) 888-6581

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1619409554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 N WATERMAN AVE",
            "address_2": "SUIT 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041700",
            "telephone_number": "909-888-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 N WATERMAN AVE",
            "address_2": "SUIT 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041700",
            "telephone_number": "909-888-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASH M DASON DDS, A PROFFESIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "DASON",
        "authorized_official_first_name": "ASH",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "909-888-6581"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.