LADERA RANCH MODERN DENTISTRY PROF. CORP NPI 1114821014

NPI Information

  • NPI: 1114821014
  • Provider Name: LADERA RANCH MODERN DENTISTRY, PROF. CORP
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • :
  • Address: 27702 CROWN VALLEY PKWY STE A4
    LADERA RANCH, CA
    ZIP 92694
  • Phone: (949) 354-5268

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NPI Details

LADERA RANCH MODERN DENTISTRY, PROF. CORP is a general practice dentist in Ladera Ranch, CA. The provider is 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. LADERA RANCH MODERN DENTISTRY, PROF. CORP NPI is 1114821014. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

27702 CROWN VALLEY PKWY STE A4
LADERA RANCH, CA
ZIP 92694-609
Phone: (949) 354-5268
Fax: (949) 347-5883

The provider's authorized official is Deepika Dhama .
The authorized official title is Owner and has the following contact phone number (949) 354-5268.

The enumeration date for this NPI number is 10/5/2026 and was last updated on 10/5/2026.

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
11223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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