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JORN N OLIMPIADA DDS INC NPI 1124198619


NPI Information

NPI: 1124198619
Provider Name: JORN N OLIMPIADA DDS INC

Doing Business As: OLYMPICS DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
15401 HESPERIAN BLVD
SUITE F
SAN LEANDRO, CA
ZIP 94578
Phone: (510) 317-9439
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JORN N OLIMPIADA DDS INC is a general practice dentist in San Leandro, 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. JORN N OLIMPIADA DDS INC NPI is 1124198619. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Olympics Dental Care.

The provider's business location address is:

15401 HESPERIAN BLVD
SUITE F
SAN LEANDRO, CA
ZIP 94578-973
Phone: (510) 317-9439
Fax: (510) 317-9558

The provider's authorized official is Jorn Natanauan Olimpiada .
The authorized official title is Owner and has the following contact phone number (510) 317-9439.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.


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 Practice47542CALIFORNIAYes

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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