Atul Suchak DDS Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

36009 Issued in CA

Legal business name

ATUL SUCHAK DDS DENTAL CORPORATION

Doing business as

Queens Dental Goup

Practice address

910 S Sunset Ave
Suite 4
West Covina, CA 91790-3409

Phone

(626) 337-6166

Fax

(626) 337-1176

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Atul Suchak, DDS

Title

President

Phone

(626) 337-6166

Specialties & licenses 1

Addresses

Other names 1

• QUEENS DENTAL GOUP Doing business as

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1700222171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S SUNSET AVE",
            "address_2": "SUITE 4",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903409",
            "telephone_number": "626-337-6166",
            "fax_number": "626-337-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S SUNSET AVE",
            "address_2": "SUITE 4",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903409",
            "telephone_number": "626-337-6166",
            "fax_number": "626-337-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATUL SUCHAK DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "SUCHAK",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-337-6166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUEENS DENTAL GOUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in West Covina, CA
• Providers in West Covina, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.