Gupta Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GUPTA DENTAL CORPORATION

Practice address

11623 Cherry Ave
Suite B-2
Fontana, CA 92337-1212

Phone

(909) 355-1485

Fax

(909) 355-2715

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jugal Kishore Gupta

Title

Owner

Phone

(909) 355-1485

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391472000000",
    "number": "1689097107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 CHERRY AVE",
            "address_2": "SUITE B-2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923371212",
            "telephone_number": "909-355-1485",
            "fax_number": "909-355-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11623 CHERRY AVE",
            "address_2": "SUITE B-2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923371212",
            "telephone_number": "909-355-1485",
            "fax_number": "909-355-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUPTA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JUGAL",
        "authorized_official_middle_name": "KISHORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-355-1485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Guevara
• Sharlyn Guillema, PHARM.D.
• Cindy C Gulley, PA
• Emily Gunz, MD
• Yujian Guo, M.D.
• Gupta Dental Group, Inc.
• Gupta Dental Office
• Arun Kumar Gupta, D.D.S.
• Jugal K Gupta, DDS
• Ravinder Gupta, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.