GS Matosian Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24829 Issued in CA

Legal business name

GS MATOSIAN DENTAL CORP

Practice address

5565 Grossmont Center Dr
Suite 229
La Mesa, CA 91942

Phone

(619) 460-6900

Fax

(619) 460-6981

NPI assigned

Oct 27, 2006

Last updated

Feb 10, 2012By 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

Dr. George S Matosian, DDSNPI 1104167162

Title

President

Phone

(619) 460-6900

Specialties & licenses 1

Addresses

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.

• George S. Matosian, DDS

  • General Practice Dentistry
  • La Mesa, CA
  • NPI 1104167162
  Authorized official Same address or phone

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1952487357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "SUITE 229",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-460-6900",
            "fax_number": "619-460-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "SUITE 229",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-460-6900",
            "fax_number": "619-460-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS MATOSIAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "MATOSIAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-460-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grossmont Surgery Center, L.P.
• Grossmont Surgical Associates,Inc
• Grossmont Union High School District
• Monique Grover, PPS
• Klarece Lynn Grudzinski, MA
• Grace Alcantara Guerrero, PT
• Harold J Gulbransen, DDS
• Lisa Gunderson, PHD, LP
• Gregory Allen O Gunn, PA-C
• Shota Gurchumelidze, M.D.

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, 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 Feb 10, 2012; 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.