Grigoryan Professional Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRIGORYAN PROFESSIONAL DENTAL CORP

Practice address

485 E Foothill Blvd
E
Upland, CA 91786-3987

Phone

(909) 291-8625

Fax

(909) 291-8629

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Vahan Grigoryan, D.D.S.

Title

Owner/Dentist

Phone

(909) 291-8625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1932534450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E FOOTHILL BLVD",
            "address_2": "E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863987",
            "telephone_number": "909-291-8625",
            "fax_number": "909-291-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E FOOTHILL BLVD",
            "address_2": "E",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863987",
            "telephone_number": "909-291-8625",
            "fax_number": "909-291-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIGORYAN PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "GRIGORYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-291-8625",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Greenwood, DDS
• Gregory K. Suelzle, M.D., a Medical Corporation
• Chelsea Grenfell
• Carissa Ninez Alberto Grepo
• Anne Christine Griffith, CD(DONA)
• Vahan Grigoryan, DDS
• Richard Grilli, CADTP CERTIFICATION
• Amyia Grizzard
• Sherrie Grizzelle
• Grobler Enterprises Inc

• Dental Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.