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MAIN STREET DENTAL GROUP
NPI 1073698429
Dentist - General Practice in Ventura, CA

Active since October 26, 2006
4360-C E MAIN ST, VENTURA, CA 93003(805) 644-6110(805) 644-6160 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Dental Group NPPES

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

MAIN STREET DENTAL GROUP (NPI 1073698429) is a healthcare organization registered as a general practice in Ventura, California and active in the NPI registry since October 2006. The organization lists Maral Khazali, Owner Dds, as its authorized official.

NPPES Registry Identity

NPI1073698429
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKHAZALI DENTAL CORPORATION
Location Address4360-C E MAIN STVentura, CA 93003
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 508-3600 · Fax (714) 368-2092
Phone(805) 644-6110
Fax(805) 644-6160
Organization SubpartNo
Authorized OfficialMaral KhazaliOwner Dds · (805) 644-6110
Enumeration DateOctober 26, 2006
Last NPPES UpdateFebruary 4, 2022
NPPES CertifiedFebruary 4, 2022
✔ NPI 1073698429 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.
4360-C E MAIN ST, Ventura, CA 93003
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Other Names 1

Doing Business AsMain Street 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

Other Providers at the Same Location NPPES

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

ANTHONY PHAM
Dentist (General Practice)
4360-C E MAIN ST
VENTURA, CA 93003
Ventura County (805) 426-4739

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 Khazali Dental Corporation's NPI number?

The NPI number for Khazali Dental Corporation is 1073698429. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Main Street Dental Group.

Where is Khazali Dental Corporation located?

Khazali Dental Corporation is located at 4360-C E Main St, Ventura, CA 93003. The listed phone number is (805) 644-6110.

What is Khazali Dental Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Khazali Dental Corporation was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.