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GRAND TERRACE MODERN DENTISTRY, INC
NPI 1952291593
Dentist - General Practice in Grand Terrace, CA

Active since July 07, 2025
22471 BARTON RD, GRAND TERRACE, CA 92313(909) 657-9498 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Terrace Modern Dentistry, Inc NPPES

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

GRAND TERRACE MODERN DENTISTRY, INC (NPI 1952291593) is a healthcare organization registered as a general practice in Grand Terrace, California and active in the NPI registry since July 2025. The organization lists Christopher Walters, Owner, as its authorized official.

NPPES Registry Identity

NPI1952291593
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRAND TERRACE MODERN DENTISTRY, INC
Location Address22471 BARTON RDGrand Terrace, CA 92313-5008
Mailing AddressPo Box 660041Dallas, TX 75266-0041
Phone(909) 657-9498
Organization SubpartNo
Authorized OfficialChristopher WaltersOwner · (714) 845-8500
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1952291593 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.
22471 BARTON RD, Grand Terrace, CA 92313
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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

Other Providers at the Same Location NPPES

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

KWAME AMPONSAH DDS
Dentist (General Practice)
22471 BARTON RD
GRAND TERRACE, CA 92313
San Bernardino County (909) 657-9498

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 Grand Terrace Modern Dentistry, Inc's NPI number?

The NPI number for Grand Terrace Modern Dentistry, Inc is 1952291593. It was assigned to this organization in the NPPES registry on July 7, 2025.

Where is Grand Terrace Modern Dentistry, Inc located?

Grand Terrace Modern Dentistry, Inc is located at 22471 Barton Rd, Grand Terrace, CA 92313. The listed phone number is (909) 657-9498.

What is Grand Terrace 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 Grand Terrace Modern Dentistry, Inc was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.