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MENIFEE DENTAL GROUP
NPI 1053551317
Dentist - General Practice in Sun City, CA

Active since February 26, 2009CLIA 05D2287683 · Waiver
29950 HAUN RD, STE 302, SUN CITY, CA 92586(951) 679-1667(951) 679-8664 Get Directions Write a Review

NPPES record last updated: February 26, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Menifee Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENIFEE DENTAL GROUP (NPI 1053551317) is a healthcare organization registered as a general practice in Sun City, California and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Carolyn G Ghazal, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1053551317
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCAROLYN GHAZAL, D.D.S., INC
Location Address29950 HAUN RD, STE 302Sun City, CA 92586-6526
Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 368-2077 · Fax (714) 368-2092
Phone(951) 679-1667
Fax(951) 679-8664
Organization SubpartNo
Authorized OfficialCarolyn G GhazalOwner Doctor · (951) 679-1667
Enumeration DateFebruary 26, 2009
✔ NPI 1053551317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
29950 HAUN RD, Sun City, CA 92586
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Other Names 1

Doing Business AsMenifee Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2287683

Menifee Dental Group · Menifee, CA
Active · expires Aug 15, 2027
CLIA Number05D2287683
Laboratory TypeDental Practice
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorAshlyn Ghazal
Laboratory Phone(951) 679-1667
Laboratory LocationMenifee Dental Group29950 Haun Road Suite 302, Menifee, CA 92586
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES S WEE DDS
Dentist (General Practice)
29950 HAUN RD, STE. 302
SUN CITY, CA 92586
Riverside County (951) 679-1667
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
Specialist
29950 HAUN RD, SUITE 202
MENIFEE, CA 92586
Riverside County (951) 679-1800
DR. ERIC MATTHEW FENNEMA O.D.
Optometrist
29950 HAUN RD, SUITE 206
SUN CITY, CA 92586
Riverside County (951) 679-0545
GHAZAL DENTAL CORPORATION
Dentist (General Practice)
29950 HAUN RD, 302
SUN CITY, CA 92586
Riverside County (951) 679-1667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Ghazal, D.D.S., Inc's NPI number?

The NPI number for Carolyn Ghazal, D.D.S., Inc is 1053551317. It was assigned to this organization in the NPPES registry on February 26, 2009. The provider is doing business as Menifee Dental Group.

Where is Carolyn Ghazal, D.D.S., Inc located?

Carolyn Ghazal, D.D.S., Inc is located at 29950 Haun Rd Ste 302, Sun City, CA 92586. The listed phone number is (951) 679-1667.

What is Carolyn Ghazal, D.D.S., Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Does Carolyn Ghazal, D.D.S., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2287683) is associated with this NPI, valid through August 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolyn Ghazal, D.D.S., Inc was last updated on February 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.