ASHFORD DENTAL PSC NPI 1558788562

NPI Information

  • NPI: 1558788562
  • Provider Name: ASHFORD DENTAL PSC
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Organization
  • Former Legal Business Name: ASHFORD DENTAL
  • Address: 1018 AVE ASHFORD
    COND. CONDADO ASTOR SUITE 201
    SAN JUAN, PR
    ZIP 00907
  • Phone: (787) 998-7778

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NPI Details

ASHFORD DENTAL PSC is a prosthodontics dentist in San Juan, PR. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. ASHFORD DENTAL PSC NPI is 1558788562. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Ashford Dental.

The provider's business location address is:

1018 AVE ASHFORD
COND. CONDADO ASTOR SUITE 201
SAN JUAN, PR
ZIP 00907-100
Phone: (787) 998-7778
Fax: (787) 998-7487

The provider's authorized official is Omar R Cruz .
The authorized official title is Prosthodontist and has the following contact phone number (787) 998-7778.

The enumeration date for this NPI number is 3/27/2014 and was last updated on 3/27/2014.

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
11223E0200XDentistEndodontics3155PUERTO RICONo
21223P0700XDentistProsthodontics3153PUERTO RICOYes

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This page was last updated on: 11/21/2025

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