OrganizationActive
Azusa Modern Dentistry, Inc
NPI 1184417859 · General Practice Dentistry · Azusa, CA
Provider details
- NPI number
- 1184417859
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Youstina Mekhael, Owner(714) 845-8500
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
806 N Azusa Ave
Azusa, CA 91702-2509
Phone: (626) 541-9615
Street-level locationGet directions
Mailing address
Po Box 660041
Dallas, TX 75266-0041
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.