Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LADERA RANCH MODERN DENTISTRY, PROF. CORP
NPI 1114821014
Dentist - General Practice in Ladera Ranch, CA

Q: What is Ladera Ranch Modern Dentistry, Prof. Corp's specialty?

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

Active since October 05, 2026

27702 CROWN VALLEY PKWY STE A4, LADERA RANCH, CA 92694(949) 354-5268(949) 347-5883 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

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About Ladera Ranch Modern Dentistry, Prof. Corp NPPES

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

LADERA RANCH MODERN DENTISTRY, PROF. CORP (NPI 1114821014), doing business as Ladera Ranch Modern Dentistry, is a healthcare organization registered as a general practice in Ladera Ranch, California and active in the NPI registry since October 2026. The organization lists Deepika Dhama, Owner, as its authorized official.

NPPES Registry Identity

NPI1114821014

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLADERA RANCH MODERN DENTISTRY, PROF. CORP

Location Address27702 CROWN VALLEY PKWY STE A4Ladera Ranch, CA 92694-0609

Mailing AddressPo Box 660041Dallas, TX 75266-0041 · (714) 845-8890 · Fax (303) 952-0892

Phone(949) 354-5268

Fax(949) 347-5883

Organization SubpartNo

Authorized OfficialDeepika DhamaOwner · (949) 354-5268

Enumeration DateOctober 5, 2026

NPPES CertifiedOctober 5, 2026

✔ NPI 1114821014 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.

27702 CROWN VALLEY PKWY STE A4, Ladera Ranch, CA 92694

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Other Names 1

Doing Business AsLadera Ranch Modern Dentistry

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 Ladera Ranch Modern Dentistry, Prof. Corp's NPI number?

The NPI number for Ladera Ranch Modern Dentistry, Prof. Corp is 1114821014. It was assigned to this organization in the NPPES registry on October 5, 2026. The provider is doing business as Ladera Ranch Modern Dentistry.

Where is Ladera Ranch Modern Dentistry, Prof. Corp located?

Ladera Ranch Modern Dentistry, Prof. Corp is located at 27702 Crown Valley Pkwy Ste A4, Ladera Ranch, CA 92694. The listed phone number is (949) 354-5268.

What is Ladera Ranch Modern Dentistry, Prof. Corp'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 Ladera Ranch Modern Dentistry, Prof. Corp was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.