Sumeet Pandhoh Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUMEET PANDHOH DENTAL CORPORATION

Practice address

2236 E Lincoln Ave
Anaheim, CA 92806-4107

Phone

(714) 461-3966

Fax

(714) 461-4001

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Sumeet Pandhoh

Title

Owner

Phone

(714) 461-3966

Specialties & licenses 1

Addresses

Other names 1

• Anaheim Modern Dentistry Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Sultani

  • Dentist
  • Anaheim, CA
  • NPI 1023891470
  NPD

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1790354587",
    "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": "2236 E LINCOLN AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064107",
            "telephone_number": "714-461-3966",
            "fax_number": "714-461-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMEET PANDHOH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "PANDHOH",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-461-3966"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Modern Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Sultan, MD
• Sarah Sultani
• Jennifer Lee Sum
• Joseph Y.C. Sum, D.D.S.
• Alwyn Teano Sumabat, MD
• Dima Summakia
• Jaelene Miracle Summerall
• Summerville at Fairwood Manor, LLC
• Summit Clinical Laboratory, Inc.
• Sun Eun Enterprise, Inc.

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Jun 28, 2021; 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.