Dental Office of Mounir N. Guirguis DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59061 Issued in CA

Legal business name

DENTAL OFFICE OF MOUNIR N. GUIRGUIS DDS, INC.

Doing business as

MAK Dental

Practice address

480 Redwood St
Suite #13
Vallejo, CA 94590-2958

Phone

(707) 554-2600

Fax

(707) 244-4441

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mounir Guirguis, DDS

Title

Managing Dentist

Phone

(925) 330-0698

Specialties & licenses 1

Addresses

Other names 1

• MAK Dental Doing business as

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1801258330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE #13",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-554-2600",
            "fax_number": "707-244-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 REDWOOD ST",
            "address_2": "SUITE #13",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902958",
            "telephone_number": "707-554-2600",
            "fax_number": "707-244-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICE OF MOUNIR N. GUIRGUIS DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "MOUNIR",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "925-330-0698",
        "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": "59061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAK Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dalanii Delacruz
• Sabrina N Delgado
• Areanna Deloney
• Lydia Deng
• Lisa Denny, LCSW
• Benjamin Denton-Schneider
• Robert Der, M.SC.
• Olympia Descallar
• Bernard Urbain Deschuytter, O.D.
• Jennifer N Despres, CNM, NP

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, 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 30, 2016; 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.