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CALIFORNIA KIDDS PEDIATRIC DENTISTRY NPI 1003102443


NPI Information

NPI: 1003102443
Provider Name: CALIFORNIA KIDDS PEDIATRIC DENTISTRY

Doing Business As: JEFFREY EVANS DDS & JEFFREY KUNKEL DDS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
7525 N. CEDAR AVE
#105
FRESNO, CA
ZIP 93720
Phone: (559) 439-6600
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CALIFORNIA KIDDS PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Fresno, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. CALIFORNIA KIDDS PEDIATRIC DENTISTRY NPI is 1003102443. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Jeffrey Evans Dds & Jeffrey Kunkel Dds.

The provider's business location address is:

7525 N. CEDAR AVE
#105
FRESNO, CA
ZIP 93720
Phone: (559) 439-6600
Fax: (559) 439-5400

The provider's authorized official is Jeffrey B Evans .
The authorized official title is Owner/partner and has the following contact phone number (559) 439-6600.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 6/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry60083CALIFORNIANo
21223P0221XDentistPediatric Dentistry59512CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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