Individual provider · Type 1 NPI
Ajay Varghese, DMD
Periodontics · Tustin, CA
NPI number
1144939091
Active
Practice location
12569 Newport Ave
Tustin, CA 92780-2420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DEN.00205400 (CO) |
| Periodontics Primary | 1223P0300X | DDS111275 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Tustin
About NPI 1144939091
Ajay Varghese, DMD's National Provider Identifier is 1144939091, issued on Nov 18, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Tustin, CA. The record was last updated on Jul 18, 2025.