COSMETIC LASER DENTISTRY
NPI 1861701971
Dentist - Dental Public Health in San Dimas, CA

Active since October 07, 2010
639 E. FOOTHILL BLVD, SUITE A, SAN DIMAS, CA 91773(909) 599-2029(909) 599-4342 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cosmetic Laser Dentistry NPPES

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

COSMETIC LASER DENTISTRY (NPI 1861701971) is a healthcare organization registered as a dental public health in San Dimas, California and active in the NPI registry since October 2010. The organization lists Maher Al-bouz, Owner, as its authorized official.

NPPES Registry Identity

NPI1861701971
Entity TypeOrganization
Primary Taxonomy1223D0001X
Legal Business NameMAHER AL-BOUZ DENTAL CORP
Location Address639 E. FOOTHILL BLVD, SUITE ASan Dimas, CA 91773
Mailing Address639 E. Foothill Blvd, Suite ASan Dimas, CA 91773 · (909) 599-2029 · Fax (909) 599-4342
Fax(909) 599-4342
Organization SubpartNo
Authorized OfficialMaher Al-bouzOwner · (909) 599-2029
Enumeration DateOctober 7, 2010
✔ NPI 1861701971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in CA · 46013
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
639 E. FOOTHILL BLVD, San Dimas, CA 91773

Other Names 1

Doing Business AsCosmetic Laser Dentistry

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cosmetic Laser Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cosmetic Laser Dentistry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1033314232
639 E FOOTHILL BLVD STE A
San Dimas, CA 91773
(909) 599-2029
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maher Al-Bouz Dental Corp's NPI number?

The NPI number for Maher Al-Bouz Dental Corp is 1861701971. It was assigned to this organization in the NPPES registry on October 7, 2010. The provider is doing business as Cosmetic Laser Dentistry.

Where is Maher Al-Bouz Dental Corp located?

Maher Al-Bouz Dental Corp is located at 639 E. Foothill Blvd Suite A, San Dimas, CA 91773. The listed phone number is (909) 599-2029.

What is Maher Al-Bouz Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Maher Al-Bouz Dental Corp enrolled in Medicare?

Yes. Maher Al-Bouz Dental Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maher Al-Bouz Dental Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Maher Al-Bouz Dental Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Maher Al-Bouz Dental Corp was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.