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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: August 16, 2026.

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

About College Grove Dentistry Dental Group NPPES

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

COLLEGE GROVE DENTISTRY DENTAL GROUP (NPI 1952816118) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since December 2017. The organization lists Ali Hejazi, Dds/owner, as its authorized official.

NPPES Registry Identity

NPI1952816118
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEJAZI DENTAL CORPORATION
Location Address3408 COLLEGE AVESan Diego, CA 92115-7134
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8500 · Fax (303) 952-0892
Phone(619) 363-3881
Fax(619) 752-1616
Organization SubpartNo
Authorized OfficialAli HejaziDds/owner · (619) 363-3881
Enumeration DateDecember 11, 2017
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1952816118 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.
3408 COLLEGE AVE, San Diego, CA 92115
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Other Names 1

Doing Business AsCollege Grove Dentistry Dental Group

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

COLLEGE GROVE OPTOMETRY
Optometrist
3408 COLLEGE AVE
SAN DIEGO, CA 92115
San Diego County (619) 957-0443
BRYAN MINH DO DDS
Dentist (Endodontics)
3408 COLLEGE AVE
SAN DIEGO, CA 92115
San Diego County (619) 363-3881
SHAFAK YOUSIF
Dentist
3408 COLLEGE AVE
SAN DIEGO, CA 92115
San Diego County (619) 363-3881
COLLEGE GROVE OPTOMETRY
Optometrist
3408 COLLEGE AVE
SAN DIEGO, CA 92115
San Diego County (619) 583-5744

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 Hejazi Dental Corporation's NPI number?

The NPI number for Hejazi Dental Corporation is 1952816118. It was assigned to this organization in the NPPES registry on December 11, 2017. The provider is doing business as College Grove Dentistry Dental Group.

Where is Hejazi Dental Corporation located?

Hejazi Dental Corporation is located at 3408 College Ave, San Diego, CA 92115. The listed phone number is (619) 363-3881.

What is Hejazi Dental Corporation'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 Hejazi Dental Corporation was last updated on May 11, 2022. 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.