H Hareesh D.D.S.& Vijaya Prabhy D.D.S. PTRS H Hareesh DDS Gen. PTR

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33041 Issued in CA

Legal business name

H HAREESH D.D.S.& VIJAYA PRABHY D.D.S. PTRS H HAREESH DDS GEN. PTR

Doing business as

San Jacinto Family Dentistry

Practice address

480 N State St
Suite I
San Jacinto, CA 92583-6511

Phone

(951) 487-2455

Fax

(951) 487-2460

NPI assigned

Apr 10, 2007

Last updated

Mar 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hareesh Hareesh, DDS

Title

Owner

Phone

(951) 487-2455

Specialties & licenses 1

Addresses

Other names 1

• San Jacinto Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1770706731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N STATE ST",
            "address_2": "SUITE I",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836511",
            "telephone_number": "951-487-2455",
            "fax_number": "951-487-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N STATE ST",
            "address_2": "SUITE I",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836511",
            "telephone_number": "951-487-2455",
            "fax_number": "951-487-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H HAREESH D.D.S.& VIJAYA PRABHY D.D.S. PTRS H HAREESH DDS GEN. PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "HAREESH",
        "authorized_official_first_name": "HAREESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-487-2455",
        "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": "33041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jacinto Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Gurganus, P.P.S
• Eric Gutierrez, IMF
• Michelle Marie Gutierrez, FNP
• Priscilla Jennifer Gutierrez
• Jacob Ryan Guy, CASE MANAGER
• H.Hareesh (san jacinto family dentistry)
• Tabitha Hagans
• Carolyn Hainje
• Erica Marie Hall
• Ribhi A Hamad, RPH 41407

• General Practice Dentistry in San Jacinto, CA
• Providers in San Jacinto, 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 Mar 7, 2014; 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.