AHMADI DENTAL GROUP
NPI 1114657400
Dentist - General Practice in San Diego, CA

Active since June 10, 2022
3330 3RD AVE STE 200, SAN DIEGO, CA 92103(619) 816-2128 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2022, Jun 10, 2022 (2 updates tracked since 2022).

About Ahmadi Dental Group NPPES

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

AHMADI DENTAL GROUP (NPI 1114657400) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since June 2022. The organization lists Kereshmeh Ahmadi, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1114657400
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAHMADI DENTAL GROUP
Location Address3330 3RD AVE STE 200San Diego, CA 92103-5639
Mailing Address3330 3rd Ave Ste 200San Diego, CA 92103-5639 · (619) 285-0950
Organization SubpartNo
Authorized OfficialKereshmeh AhmadiOwner/ Dentist · (619) 365-0929
Enumeration DateJune 10, 2022
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1114657400 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.

3330 3RD AVE STE 200, San Diego, CA 92103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
3330 3RD AVE STE 200
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114657400, enumerated as an "organization" on June 10, 2022.

The provider is located at 3330 3RD AVE STE 200 SAN DIEGO, CA 92103 and the phone number is (619) 816-2128.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.