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CLINTON PARK DENTAL CORPORATION NPI 1083848568


NPI Information

NPI: 1083848568
Provider Name: CLINTON PARK DENTAL CORPORATION

Doing Business As: GATEWAY DENTAL GROUP AND ORTHODONTICS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2635 GATEWAY RD
SUITE 101
CARLSBAD, CA
ZIP 92009
Phone: (760) 431-8112
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CLINTON PARK DENTAL CORPORATION is a general practice dentist in Carlsbad, CA. The provider is 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. CLINTON PARK DENTAL CORPORATION NPI is 1083848568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gateway Dental Group And Orthodontics.

The provider's business location address is:

2635 GATEWAY RD
SUITE 101
CARLSBAD, CA
ZIP 92009-753
Phone: (760) 431-8112
Fax: (760) 929-8776

The provider's authorized official is Clinton H Park .
The authorized official title is Owner Doctor and has the following contact phone number (760) 431-8112.

The enumeration date for this NPI number is 5/12/2009 and was last updated on 8/19/2013.


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
11223G0001XDentistGeneral PracticeYes

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: 11/14/2023

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