Active NPI
Avalpreet Dang Dental Corporation
Doing business as Merced Modern Dentistry
- Dentist
- Merced, CA
National Provider Identifier
1740962455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- AVALPREET DANG DENTAL CORPORATION
- Doing business as
- Merced Modern Dentistry
- Practice address
- 3630 G St Ste C
Merced, CA 95340-9201 - Phone
- (209) 284-1321
- Fax
- (209) 284-2587
- NPI assigned
- Aug 2, 2023
- Last updated
- Aug 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meghan Farrar, DMD
- Title
- Owner
- Phone
- (209) 284-1321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
3630 G St Ste C
Merced, CA 95340-9201
Mailing address
PO Box 920050
Dallas, TX 75392-0050
Other names 1
- MERCED MODERN DENTISTRY
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2340335 | Merced Modern Dentistry | Certificate of waiver | Mar 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
3630 G St
Ste C
Merced, CA 95340
Phone (209) 284-1321
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Merced, CA
- NPI 1255170296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690934400000",
"number": "1740962455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920050",
"city": "DALLAS",
"state": "TX",
"postal_code": "753920050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 G ST STE C",
"city": "MERCED",
"state": "CA",
"postal_code": "953409201",
"telephone_number": "209-284-1321",
"fax_number": "209-284-2587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVALPREET DANG DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-02",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A",
"authorized_official_last_name": "FARRAR",
"authorized_official_first_name": "MEGHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-284-1321",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MERCED MODERN DENTISTRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.