Main Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

46725 Issued in CA

Legal business name

MAIN DENTAL CENTER

Practice address

1038 W Main St
Santa Maria, CA 93458-4238

Phone

(805) 925-9091

Fax

(805) 925-9022

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Abdallah Al-Harazneh, D.D.S.

Title

Ceo

Phone

(805) 925-9091

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1962941716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 W MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584238",
            "telephone_number": "805-925-9091",
            "fax_number": "805-925-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 W MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934584238",
            "telephone_number": "805-925-9091",
            "fax_number": "805-925-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "AL-HARAZNEH",
        "authorized_official_first_name": "ABDALLAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-925-9091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Maharry
• Larry Eugene Mahnesmith
• David Blair Mahoney, M.D.
• Jaclyn Mahoney
• Laurie Ann Mahr, LMFT
• Gabrielle Maiolo
• Maite Vargas Dental Corporation
• Brandon Malan, DDS
• Juliana Malaveci, LCSW
• Eliadora Maldanado, BA

• Dentist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.