1. Home
  2. Directory
  3. California
  4. Cerritos
  5. Dentist
  6. NPI Profile

CERRITOS TOWNE CENTER DENTISTRY
NPI 1699895383
Dentist in Cerritos, CA

Active since March 29, 2007
17550 BLOOMFIELD AVE, SUITE C, CERRITOS, CA 90703(562) 809-4464 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cerritos Towne Center Dentistry NPPES

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

CERRITOS TOWNE CENTER DENTISTRY (NPI 1699895383) is a healthcare organization registered as a dentist in Cerritos, California and active in the NPI registry since March 2007. The organization lists Winston Muditajaya, President, as its authorized official.

NPPES Registry Identity

NPI1699895383
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWINSTON MUDITAJAYA, D.D.S., INC.
Location Address17550 BLOOMFIELD AVE, SUITE CCerritos, CA 90703-8584
Mailing Address17550 Bloomfield Ave, Suite CCerritos, CA 90703-8584 · (562) 809-4464
Phone(562) 809-4464
Organization SubpartNo
Authorized OfficialWinston MuditajayaPresident · (562) 809-4464
Enumeration DateMarch 29, 2007
Last NPPES UpdateJune 16, 2008
✔ NPI 1699895383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 44515
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.
17550 BLOOMFIELD AVE, Cerritos, CA 90703
Open in Google Maps ↗

Other Names 1

Doing Business AsCerritos Towne Center Dentistry

Other Identifiers 1

MedicaidG9356501CA

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

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 Winston Muditajaya, D.D.S., Inc.'s NPI number?

The NPI number for Winston Muditajaya, D.D.S., Inc. is 1699895383. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Cerritos Towne Center Dentistry.

Where is Winston Muditajaya, D.D.S., Inc. located?

Winston Muditajaya, D.D.S., Inc. is located at 17550 Bloomfield Ave Suite C, Cerritos, CA 90703. The listed phone number is (562) 809-4464.

What is Winston Muditajaya, D.D.S., Inc.'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 Winston Muditajaya, D.D.S., Inc. was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.