PS Ahuja Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57141 Issued in CA

Legal business name

PS AHUJA DENTAL CORP

Doing business as

FULLERSMILES LONG BEACH

Practice address

1045 Atlantic Ave
Ste 602
Long Beach, CA 90813-3408

Phone

(562) 435-5388

NPI assigned

Jan 6, 2017

Organization subpart

Yes

Parent organization

PS AHUJA DENTAL CORPAs reported in NPPES

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

Authorized official

Name

Dr. Arshjot Singh Ahuja, DDS

Title

Dentist/Owner

Phone

(909) 456-5089

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FULLERSMILES LONG BEACH Doing business as

Tax ID family

PS Ahuja Dental Corp2 organizations share this tax ID, including this one

Part of

PS Ahuja Dental Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PS Ahuja Dental Corp

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1790150886
  NPD tax ID

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1760928329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE STE 3",
            "address_2": "STE 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303072",
            "telephone_number": "909-484-2505",
            "fax_number": "909-484-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "STE 602",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-435-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PS AHUJA DENTAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PS AHUJA DENTAL CORP",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "ARSHJOT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "909-456-5089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL",
            "identifier": "1104088178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULLERSMILES LONG BEACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.