Tejas Modi DDS Inc

General Practice Dentistry · Perris, CA

Organization Active NPI

NPI number 1134329030

Practice location

75 W Nuevo Rd Ste a&B
Perris, CA 92571
Phone
(951) 657-1203

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NPI record

NPI
1134329030
Entity type
Organization (Type 2)
Enumeration date
July 19, 2007
Last updated
August 22, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D 47131 CA
Dentist 122300000X D50823 CA
Dentist 122300000X D36129 CA
Dentist 122300000X D43182 CA
Dentist 122300000X D54136 CA

Mailing address

75 W. Nuevo Rd, Suite a & B
Perris, CA 92571-0801
Phone
(951) 657-1203

Authorized official

Name
Tejas Modi
Title
President
Phone
(951) 657-1203

About Tejas Modi DDS Inc

Tejas Modi DDS Inc is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 75 W Nuevo Rd Ste a&B, Perris, CA 92571. The NPI number 1134329030 was assigned on July 19, 2007 and the record was last updated on August 22, 2018.

Tejas Modi DDS Inc lists 5 licenses in the registry: #D 47131 (CA) for General Practice Dentistry; #D50823 (CA) for Dentist; #D36129 (CA) for Dentist; #D43182 (CA) for Dentist; #D54136 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Tejas Modi, President.

Frequently asked questions

What is the NPI number of Tejas Modi DDS Inc?

The NPI number is 1134329030.

What is the phone number of Tejas Modi DDS Inc?

The phone number listed for the practice location is (951) 657-1203.

Where is Tejas Modi DDS Inc located?

75 W Nuevo Rd Ste a&B, Perris, CA 92571.

What is the taxonomy code for Tejas Modi DDS Inc?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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