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Active NPI 1740320480 Individual Practitioner Male Practitioner

Ayman Ghozlan

Dentist - General Practice • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Ayman Ghozlan is a registered healthcare professional specializing in Dentist - General Practice in Lodi, CA. Practice services are available at 1745 W KETTLEMAN LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1745 W Kettleman Ln
B

Lodi, CA 952429287

Telephone 9163371077
Fax 9168972567
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Lodi, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 46060

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
D46060 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. David Lee , DDS

Dentist - General Practice

NPI 1194049072

Doctor of Dental Surgery

NPI 1881839389

Certified Prosthetist Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 18, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2010

Registered at 1745 W KETTLEMAN LN, B, LODI, CA 952429287 (Tel: 9163371077)

📍
Updated Business Mailing Address October 18, 2010

Registered at 10374 STATHOS DR, ELK GROVE, CA 957571609 (Tel: 9163371077)

👤
Provider Name / Credentials Updated October 18, 2010

Recorded as AYMAN GHOZLAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2010

Dentist (License #46060 in CA)

🟢
Initial NPI Registration & Enumeration February 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740320480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: October 18, 2010
Sole Proprietor: No

Mailing Address

10374 Stathos Dr

Elk Grove, CA 957571609

Phone: 9163371077

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.