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EDWARD SALL DENTAL CORPORATION NPI 1053859710


NPI Information

NPI: 1053859710
Provider Name: EDWARD SALL DENTAL CORPORATION

Former Legal Business Name: TODD MORGAN DENTAL CORPORATION

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
5471 KEARNY VILLA RD STE 201
SAN DIEGO, CA
ZIP 92123
Phone: (858) 987-7888
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EDWARD SALL DENTAL CORPORATION is a customized equipment durable medical equipment medical supplies in San Diego, CA. EDWARD SALL DENTAL CORPORATION NPI is 1053859710. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Todd Morgan Dental Corporation.

The provider's business location address is:

5471 KEARNY VILLA RD STE 201
SAN DIEGO, CA
ZIP 92123-143
Phone: (858) 987-7888
Fax: (619) 299-6222

The provider's authorized official is Edward Tracy Sall .
The authorized official title is President and has the following contact phone number (858) 987-7888.

The enumeration date for this NPI number is 2/2/2017 and was last updated on 8/24/2021.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104553OTHERCALIFORNIADENTAL BOARD OF CALIFORNIA
2C3761211OTHERCALIFORNIACALIFORNIA SECRETARY OF STATE

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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