G. S. Atwal, DDS a Prof. Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46021 Issued in CA

Legal business name

G. S. ATWAL, DDS A PROF. DENTAL CORP

Practice address

14850 Highway 4 Ste B
Discovery Bay, CA 94505-2237

Phone

(925) 634-5353

Fax

(925) 634-5393

NPI assigned

Nov 12, 2010

Last updated

Nov 12, 2010By 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

Gurrinder Singh Atwal, D.D.S.NPI 1598827859

Title

Dentist

Phone

(209) 836-5393

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gurrinder Singh Atwal, DDS

  • General Practice Dentistry
  • Tracy, CA
  • NPI 1598827859
  Authorized official Same address or phone
• Ragini Porwal, D.D.S.

  • General Practice Dentistry
  • Discovery Bay, CA
  • NPI 1265688147
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1902107527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14850 HIGHWAY 4 STE B",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945052237",
            "telephone_number": "925-634-5353",
            "fax_number": "925-634-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 HIGHWAY 4 STE B",
            "city": "DISCOVERY BAY",
            "state": "CA",
            "postal_code": "945052237",
            "telephone_number": "925-634-5353",
            "fax_number": "925-634-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. S. ATWAL, DDS A PROF. DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "ATWAL",
        "authorized_official_first_name": "GURRINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-836-5393",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew C. Espanol, DPT
• Alicea Evans
• Jennifer Jean Ferguson, MS, LPC, LPCC, CPC
• Paula Christine Fiebig, PHYSICAL THERAPIST
• Sameera Firoozmand
• Kellie Glaser, RDN
• Debra Harder, MSW
• Daniel F Hillenbrand, D.C.
• Julie Jackson, NC
• Tijuana Jackson, DNP-FNPBC

• General Practice Dentistry in Discovery Bay, CA
• Providers in Discovery Bay, 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 Nov 12, 2010; 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.