COLLEGE GROVE DENTISTRY DENTAL GROUP
NPI 1952816118
Dentist - General Practice in San Diego, CA

Active since December 11, 2017
3408 COLLEGE AVE, SAN DIEGO, CA 92115(619) 363-3881(619) 752-1616 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 11, 2022, Dec 11, 2017 (2 updates tracked since 2017).

  • Organization
  • Dentist
  • General Practice

About COLLEGE GROVE DENTISTRY DENTAL GROUP

This page provides the complete NPI Profile along with additional information for College Grove Dentistry Dental Group, a provider established in San Diego, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1952816118 assigned on December 2017. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as College Grove Dentistry Dental Group. The authorized official of this NPI record is Dr. Ali Hejazi Dmd (Dds/owner)

NPI
1952816118 Verify this NPI
Provider Legal Name
HEJAZI DENTAL CORPORATION
Other Organization Name
COLLEGE GROVE DENTISTRY DENTAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3408 COLLEGE AVE SAN DIEGO, CA 92115
Location Phone
(619) 363-3881
Location Fax
(619) 752-1616
Mailing Address
PO BOX 920050 DALLAS, TX 75392
Mailing Phone
(714) 845-8500
Mailing Fax
(303) 952-0892
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2017
Last Update Date
05-11-2022
Code Navigator

A dentist like College Grove Dentistry Dental Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ALI HEJAZI DMD

Authorized Official Title
DDS/OWNER
Authorized Official Phone
(619) 363-3881

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
3408 COLLEGE AVE
SAN DIEGO, CA 92115
Optometrist
3408 COLLEGE AVE
SAN DIEGO, CA 92115
Dentist
3408 COLLEGE AVE
SAN DIEGO, CA 92115
Dentist (Endodontics)
3408 COLLEGE AVE
SAN DIEGO, CA 92115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952816118, enumerated as an "organization" on December 11, 2017.

The provider is located at 3408 COLLEGE AVE SAN DIEGO, CA 92115 and the phone number is (619) 363-3881.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.