Organization Active NPI

Ace Dental,LLC

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1750530663
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50832 Issued in CA
Legal business name
ACE DENTAL,LLC
Practice address
11840 Magnolia Ave Ste a
Riverside, CA 92503-4900
Phone
(951) 351-8881
Fax
(951) 351-8889
NPI assigned
Sep 16, 2008
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Zaw Thu, D.D.SNPI 1548349459
Title
President
Phone
(951) 351-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50832 CA Primary

Addresses

Primary practice location

11840 Magnolia Ave Ste a
Riverside, CA 92503-4900

Mailing address

11840 Magnolia Ave Ste a
Riverside, CA 92503-4900
Phone (951) 351-8881

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1750530663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11840 MAGNOLIA AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034900",
            "telephone_number": "951-351-8881",
            "fax_number": "951-351-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11840 MAGNOLIA AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034900",
            "telephone_number": "951-351-8881",
            "fax_number": "951-351-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "THU",
        "authorized_official_first_name": "ZAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-351-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.