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WEST VALLEY ENDODONTIC DENTAL GROUP NPI 1023407947


NPI Information

NPI: 1023407947
Provider Name: WEST VALLEY ENDODONTIC DENTAL GROUP
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
5363 BALBOA BLVD
SUITE 534
ENCINO, CA
ZIP 91316
Phone: (818) 986-6777
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WEST VALLEY ENDODONTIC DENTAL GROUP is an endodontics dentist in Encino, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. WEST VALLEY ENDODONTIC DENTAL GROUP NPI is 1023407947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5363 BALBOA BLVD
SUITE 534
ENCINO, CA
ZIP 91316-805
Phone: (818) 986-6777
Fax: (818) 986-6519

The provider's authorized official is Thomas A Jovicich .
The authorized official title is Owner and has the following contact phone number (818) 986-6777.

The enumeration date for this NPI number is 1/15/2015 and was last updated on 1/15/2015.


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
11223E0200XDentistEndodontics36878CALIFORNIAYes

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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