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AZUSA MODERN DENTISTRY, INC
NPI 1184417859
Dentist - General Practice in Azusa, CA

Active since May 27, 2025
806 N AZUSA AVE, AZUSA, CA 91702(626) 541-9615 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Azusa Modern Dentistry, Inc NPPES

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

AZUSA MODERN DENTISTRY, INC (NPI 1184417859) is a healthcare organization registered as a general practice in Azusa, California and active in the NPI registry since May 2025. The organization lists Youstina Mekhael, Owner, as its authorized official.

NPPES Registry Identity

NPI1184417859
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAZUSA MODERN DENTISTRY, INC
Location Address806 N AZUSA AVEAzusa, CA 91702-2509
Mailing AddressPo Box 660041Dallas, TX 75266-0041
Phone(626) 541-9615
Organization SubpartNo
Authorized OfficialYoustina MekhaelOwner · (714) 845-8500
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1184417859 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.
806 N AZUSA AVE, Azusa, CA 91702
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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

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 Azusa Modern Dentistry, Inc's NPI number?

The NPI number for Azusa Modern Dentistry, Inc is 1184417859. It was assigned to this organization in the NPPES registry on May 27, 2025.

Where is Azusa Modern Dentistry, Inc located?

Azusa Modern Dentistry, Inc is located at 806 N Azusa Ave, Azusa, CA 91702. The listed phone number is (626) 541-9615.

What is Azusa Modern Dentistry, Inc'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 Azusa Modern Dentistry, Inc was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.