Ghazala Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GHAZALA DENTAL LLC

Practice address

4651 Chippewa St
Saint Louis, MO 63116-1610

Phone

(314) 668-6579

NPI assigned

Oct 21, 2022

Last updated

Jun 13, 2023By 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

Alhusain Ghazala

Title

Owner

Phone

(315) 454-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Ritu Kapil Khatri

  • Dentist
  • Saint Louis, MO
  • NPI 1164283685
  NPD

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1942927884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 CHIPPEWA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161610",
            "telephone_number": "314-668-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHAZALA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "GHAZALA",
        "authorized_official_first_name": "ALHUSAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-454-6000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafif Ghadban, M.D.
• Sumaya Abdul Ghaffar, MD
• Mohammad F Ghani, MD
• Sina Ghanizadeh
• Ziad Toni Ghantous
• Emily Gherle
• Chiara Giovanna Iris Ghetti, MD
• Armin Ghobadi, MD
• Cherie Gholston, CNA
• Ebony Gholston

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.