G Kohli DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49124 Issued in CA

Legal business name

G KOHLI DDS INC

Practice address

2220 Mountain Blvd Ste 206
Oakland, CA 94611-2905

Phone

(510) 482-5700

Fax

(510) 482-0407

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gagandeep S Kohli, DDS

Title

President

Phone

(650) 556-4778

Specialties & licenses 1

Addresses

Other names 1

• Montclair 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.

• Edward Barnett Wong, DDS

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1558707406
  NPD
• Arnold H. Brokstein, D.D.S.

  • Dentist
  • Oakland, CA
  • NPI 1871811216
  NPD (past)
• Katie Wu Fogarty, DMD

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1861704124
  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750800306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD STE 206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112905",
            "telephone_number": "510-482-5700",
            "fax_number": "510-482-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 MOUNTAIN BLVD STE 206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946112905",
            "telephone_number": "510-482-5700",
            "fax_number": "510-482-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G KOHLI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-556-4778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montclair Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Fussner
• Terri Fuston
• Nylae Futch
• Future Diagnostic Imaging
• Future Diagnostic Imaging
• Jason Gaball
• Daniel Gabay, PSYD
• Nadia Gaber, MD
• Alyssa Gable
• Richard Gabor, D.D.S.

• Dental Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.