Aegis Trusted Dentistry, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AEGIS TRUSTED DENTISTRY, P.C.

Doing business as

Aegis Dental Group

Practice address

3560 Elkhart Rd
Goshen, IN 46526-5814

Phone

(574) 875-7711

Fax

(574) 875-7718

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Guy J Moore

Title

Owner/President

Phone

(574) 875-7711

Specialties & licenses 1

Addresses

Other names 1

• Aegis Dental Group Doing business as

Locations

Practitioners 3

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.

• Mai Linh T Regan, D.M.D.

  • Dentist
  • Goshen, IN
  • NPI 1730483587
  NPD
• Hannah Leigh Pechin, DDS

  • Dentist
  • Goshen, IN
  • NPI 1891143905
  NPD (past)
• Gurpreet Singh, DMD

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1205724606
  NPD (past)

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1689360075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 ELKHART RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265814",
            "telephone_number": "574-875-7711",
            "fax_number": "574-875-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 ELKHART RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465265814",
            "telephone_number": "574-875-7711",
            "fax_number": "574-875-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS TRUSTED DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "574-875-7711"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adec - Hawthorne
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• Adec-Bridlewood
• Bolanle Adeola Adepoju, M.D.
• Natalia Aguilar
• Matthew G Aitken
• Lynn J. Albrecht, D.D.S.
• Kristen Nicole Alcantara, PTA
• Allied Physicians Inc., D/B/a Fort Wayne Neurology

• Dental Clinic/Center in Goshen, IN
• Providers in Goshen, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.