AQUA DENTAL
NPI 1356625537
Dentist - General Practice in Santa Ana, CA

Active since October 05, 2011
1319 N MAIN ST, SANTA ANA, CA 92701(714) 972-2782 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aqua Dental NPPES

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

AQUA DENTAL (NPI 1356625537) is a healthcare organization registered as a general practice in Santa Ana, California and active in the NPI registry since October 2011. The organization lists Shahin Mahallati, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1356625537
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHAHIN MAHALLATI DDS INC
Location Address1319 N MAIN STSanta Ana, CA 92701-2318
Mailing Address3620 S Bristol St, Suite 307Santa Ana, CA 92704-7300 · (714) 540-2836 · Fax (714) 540-4986
Organization SubpartNo
Authorized OfficialShahin MahallatiOwner/president · (714) 640-2836
Enumeration DateOctober 5, 2011
NPI 1356625537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 43194
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.

1319 N MAIN ST, Santa Ana, CA 92701

Other Names 1

Doing Business AsAqua Dental

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

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1319 N MAIN ST
SANTA ANA, CA 92701
Dentist
1319 N MAIN ST
SANTA ANA, CA 92701

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 Shahin Mahallati Dds Inc's NPI number?

The NPI number for Shahin Mahallati Dds Inc is 1356625537. It was assigned to this organization in the NPPES registry on October 5, 2011. The provider is doing business as Aqua Dental.

Where is Shahin Mahallati Dds Inc located?

Shahin Mahallati Dds Inc is located at 1319 N Main St, Santa Ana, CA 92701. The listed phone number is (714) 972-2782.

What is Shahin Mahallati Dds 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 Shahin Mahallati Dds Inc was last updated on October 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.