PS AHUJA DENTAL CORP (NPI# 1760928329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760928329 |
| Entity Type | Organization |
| Organization Name | PS AHUJA DENTAL CORP |
| Other Organization Name | FULLERSMILES LONG BEACH |
| Practice Address |
1045 Atlantic Ave Ste 602 Long Beach CA 90813-3408 |
| Mailing Address |
7890 Haven Ave Ste 3 Ste 3 Rancho Cucamonga CA 91730-3072 |
| Practice Telephone | 5624355388 |
| Mailing Telephone | 9094842505 |
| Mailing Fax Number | 9094842507 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | DR. ARSHJOT SINGH AHUJA (DENTIST/OWNER) |
| Authorized Official Telephone | 9094565089 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | PS AHUJA DENTAL CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
57141 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PERSONAL | 1104088178 | 01 |
| Other Name | Type Code |
|---|---|
| FULLERSMILES LONG BEACH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150886 | Ps Ahuja Dental Corp | Clinic/Center | 7890 Haven Ave, Suite # 3, Rancho Cucamonga, CA 91730-3051 | 2015-12-01 |
| Street Address |
1045 ATLANTIC AVE STE 602 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294733 | Merrill M Knopf | Ophthalmology | 1045 Atlantic Ave, Ste 1007, Long Beach, CA 90813-3413 | 2005-06-08 |
| 1821448028 | Cardiovascular Innovation and Research Center Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2016-06-17 |
| 1285007419 | St. Mary Medical Center | Clinic/Center | 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 | 2015-11-10 |
| 1508289158 | Healthy Foundations Medical Group | Pediatrics | 1045 Atlantic Ave, Ste 715, Long Beach, CA 90813-3408 | 2014-01-31 |
| 1649513961 | American Pacific Medical Group Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2013-04-04 |
| 1235436023 | Janet Do | Pediatrics | 1045 Atlantic Ave, #605, Long Beach, CA 90813-3408 | 2011-02-15 |
| 1578864211 | Amar S Kapoor M D Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2010-11-11 |
| 1063720324 | Coreen Marie Correa | Nurse Practitioner | 1045 Atlantic Ave, 508, Long Beach, CA 90813-3408 | 2010-09-21 |
| 1790002236 | Michael O Liff Md Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2010-04-23 |
| 1053637959 | Joanna Ai Wan Tan | Internal Medicine | 1045 Atlantic Ave, Suite 708, Long Beach, CA 90813-3408 | 2010-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942866645 | Mahshid Assadi | Dentist | 4300 Long Beach Blvd Ste 415, Long Beach, CA 90807-2017 | 2019-05-17 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1235662842 | Addyson England | Dentist | 6437 E Pacific Coast Hwy Unit A-6, Long Beach, CA 90803-4201 | 2017-04-10 |
| 1346608379 | Anh Hoang Nguyen | Dentist | 2700 N Bellflower Blvd Ste 106, Long Beach, CA 90815-1129 | 2016-02-04 |
| 1477925683 | Cherag Dinshaw Sarkari Dds A Dental Corporation | Dentist | 2306 E 7th St, Long Beach, CA 90804-4619 | 2015-10-27 |
| 1487020293 | Anina Larez | Dentist | 3481 E Curry St, Long Beach, CA 90805-3815 | 2015-08-15 |
| 1174926281 | Jocelynn Vida Sustaita | Dentist | 141 E Willow St, Long Beach, CA 90806-2633 | 2014-10-02 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1164859096 | Hyung T Kim Dds Inc. | Dentist | 130 W. Anaheim Street, Long Beach, CA 90813-3113 | 2013-10-10 |
| 1104258805 | Scott Craig Bohlke | Dentist | 5175 E. Pacific Coast Hwy., Suite 401, Long Beach, CA 90804-3313 | 2013-08-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on PS AHUJA DENTAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.