Provider Type Icon

SUKIASYAN PROFESSIONAL DENTAL CORP NPI 1124184825


NPI Information

NPI: 1124184825
Provider Name: SUKIASYAN PROFESSIONAL DENTAL CORP

Doing Business As: GROVEDENTAL GROUP

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
8283 GROVE AVE
SUITE 208
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 291-8625
Get Directions

SUKIASYAN PROFESSIONAL DENTAL CORP is a dentist in Rancho Cucamonga, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. SUKIASYAN PROFESSIONAL DENTAL CORP NPI is 1124184825. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grovedental Group.

The provider's business location address is:

8283 GROVE AVE
SUITE 208
RANCHO CUCAMONGA, CA
ZIP 91730-137
Phone: (909) 291-8625
Fax: (909) 291-8629

The provider's authorized official is Arsen Sukiasyan .
The authorized official title is President and has the following contact phone number (909) 291-8625.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist49999CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G92938MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.