AESTHETIC EDGE THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP. NPI 1649572215

NPI Information

NPI: 1649572215
Provider Name: AESTHETIC EDGE, THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP.

Former Legal Business Name: AESTHETIC EDGE DENTISTRY PC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3616 W SHAW AVE
FRESNO, CA
ZIP 93711
Phone: (559) 271-8400
Get Directions

AESTHETIC EDGE, THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP. is a dental clinic center in Fresno, CA. AESTHETIC EDGE, THE DENTAL PRACTICE OF MANKIRAT GILL DDS PROF. CORP. NPI is 1649572215. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Aesthetic Edge Dentistry Pc.

The provider's business location address is:

3616 W SHAW AVE
FRESNO, CA
ZIP 93711-231
Phone: (559) 271-8400
Fax: (559) 271-8401

The provider's authorized official is Kanwar Gill .
The authorized official title is Secretary and has the following contact phone number (559) 447-8490.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 11/30/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	58363	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	58363	OTHER	CALIFORNIA	DENTAL LICENSE OF MANKIRAT GILL DDS

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: 5/5/2024

NPI Synchronization or Removal

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