=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811802929
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | M BHATIA DENTAL CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/14/2026
-----------------------------------------------------
Last Update Date | 08/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2531 HOWARD RD STE 103
-----------------------------------------------------
City | MADERA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93637-5040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-777-9058
-----------------------------------------------------
Fax | 559-552-0700
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2531 HOWARD RD STE 103
-----------------------------------------------------
City | MADERA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93637-5040
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-777-9058
-----------------------------------------------------
Fax | 559-552-0700
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. MITIN BHATIA
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 559-777-9058
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------