S Mavi,D.D.S., Incorporated

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

S MAVI,D.D.S., INCORPORATED

Doing business as

Ashlan Dental Center

Practice address

4007 N Marks Ave Ste 102
Fresno, CA 93722-4555

Phone

(559) 225-5800

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Varinder Pannu, DDS

Title

Vice President

Phone

(206) 225-9296

Specialties & licenses 1

Addresses

Other names 1

• Ashlan Dental Center Doing business as

Locations

Practitioners 2

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

• Harishpal Virk, D.D.S.

  • Dentist
  • Fresno, CA
  • NPI 1841432317
  NPD (past)
• Sukhpal K Virk, DDS

  • Dentist
  • Fresno, CA
  • NPI 1477602829
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1659847549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 N MARKS AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-225-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 N MARKS AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-225-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S MAVI,D.D.S., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "VARINDER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "206-225-9296",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashlan Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin C Rye, O.D.
• Jeanette Rose Rylander, M.D.
• Michelle Lynn Rymer, LVN
• Jane Ryu, DO
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• S Vision Group Inc
• S. J. Garza, D.D.S. Inc.
• S.T.a.R. Therapy Clinic, Inc

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.