ETEMADI DENTAL CORPORATION
NPI 1699842492
Dentist in Rancho Cucamonga, CA

Q: What is Etemadi Dental Corporation's NPI number?

The NPI number for Etemadi Dental Corporation is 1699842492. It was assigned to this organization in the NPPES registry on November 29, 2006.

Q: What is Etemadi Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 29, 2006

12729 FOOTHILL BLVD, SUITE # A, RANCHO CUCAMONGA, CA 91739(909) 899-8757(909) 899-8760 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Etemadi Dental Corporation NPPES

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

ETEMADI DENTAL CORPORATION (NPI 1699842492) is a healthcare organization registered as a dentist in Rancho Cucamonga, California and active in the NPI registry since November 2006. The organization lists Khashayar Etemadi, President, as its authorized official.

NPPES Registry Identity

NPI1699842492

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameETEMADI DENTAL CORPORATION

Location Address12729 FOOTHILL BLVD, SUITE # ARancho Cucamonga, CA 91739-9334

Mailing Address12729 Foothill Blvd, Suite # ARancho Cucamonga, CA 91739-9334 · (909) 899-8757 · Fax (909) 899-8760

Phone(909) 899-8757

Fax(909) 899-8760

Organization SubpartNo

Authorized OfficialKhashayar EtemadiPresident · (909) 899-8757

Enumeration DateNovember 29, 2006

Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration

NPPES CertifiedOctober 13, 2021

✔ NPI 1699842492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

12729 FOOTHILL BLVD, Rancho Cucamonga, CA 91739

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Other Identifiers 2

Other868675CA · United Concordia

OtherG9124301CA · Medical

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.

DR. AZADEH PAYDAR D.D.S.

Dentist

12729 FOOTHILL BLVD, SUITE # A
RANCHO CUCAMONGA, CA 91739

San Bernardino County (909) 899-8757

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 Etemadi Dental Corporation's NPI number?

The NPI number for Etemadi Dental Corporation is 1699842492. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Etemadi Dental Corporation located?

Etemadi Dental Corporation is located at 12729 Foothill Blvd Suite # A, Rancho Cucamonga, CA 91739. The listed phone number is (909) 899-8757.

What is Etemadi Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Etemadi Dental Corporation was last updated on October 13, 2021. 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.